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Titlebook: Illustrated Manual of Orthognathic Surgery; Osteotomies of the M Peter Kessler,Nicolas Hardt,Kensuke Yamauchi Book 2024 The Editor(s) (if a

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Definition of Standard Proceduresittal and vertical osteotomy to perform the typical sagittal split—and stepped or oblique osteotomies in the tooth-bearing mandibular body for horizontal shifts. In addition, segmental anterior and posterior partial osteotomies of the horizontal branch and chin osteotomies are distinguished. Combinations of these procedures are possible.
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Osteosynthesis for Sagittal Splittingent. In orthognathic surgery, however, the displacement of bone segments is the goal of treatment, which places different demands on osteosynthesis techniques. Under aspects of stability, functional adaptation, and masticatory function, the functionally stable osteosynthesis, originally developed by Champy for traumatology, has gained acceptance.
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General Planning and Preoperative Assessmentthe actual movements of the jaw, provides guidance during surgery and a prediction of the final result. A 2D cephalometric analysis on the lateral cephalogram is performed to predict the sagittal transposition of the bony structures. Three-dimensional analysis is used to prepare for surgery.
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The Patientnation and analysis of the facial soft tissues remain a fundamental step in orthognathic planning. This chapter will discuss the chronological steps of planning in orthognathic surgery. The frequently used radiologic imaging modalities and their technical background and clinical indications will be briefly evaluated.
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