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Muscles for Facial Expressions01:14

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The craniofacial muscles are a collection of approximately 20 thin skeletal muscles situated beneath the skin of the face and scalp. These muscles, primarily responsible for the vast array of human facial expressions, originate from the bones or fibrous structures of the skull and extend outwards to connect with the skin. While most skeletal muscles in the body are enveloped in thick fascia, facial muscles generally have a more delicate fascial covering, with the buccinator muscle being a...
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Maxillary orthognathic surgery.

Richard E Bauer1, Mark W Ochs1

  • 1Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA.

Oral and Maxillofacial Surgery Clinics of North America
|September 10, 2014
PubMed
Summary
This summary is machine-generated.

Maxillary surgery corrects midface deformities safely and effectively. Advances in anesthesia and surgical techniques like segmentalization have made orthognathic surgery a reliable treatment for dentofacial deformities.

Keywords:
Dentofacial deformityLeFortMaxillaOrthognathic surgeryOsteotomy

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthognathic Surgery
  • Dentofacial Deformity Correction

Background:

  • Maxillary surgery has a century-long history in correcting dentofacial deformities.
  • Modern anesthetic and surgical advancements have significantly improved safety and efficacy.
  • Segmentalization and manipulation of the maxilla are established safe practices.

Purpose of the Study:

  • To provide a comprehensive overview of maxillary surgery techniques for orthognathic surgery.
  • To discuss key considerations in surgical planning and execution.
  • To highlight recent technological advancements relevant to the procedure.

Main Methods:

  • Review of established and advanced surgical techniques for maxillary advancement.
  • Discussion of specific challenges such as openbite closure and vertical excess correction.
  • Exploration of bone grafting principles and applications.
  • Inclusion of a technology update relevant to orthognathic procedures.

Main Results:

  • Maxillary surgery, particularly with segmentalization, is a safe and effective treatment for midface deformities.
  • Hypotensive anesthesia enhances surgical safety and working conditions.
  • Various techniques address specific deformities like openbites and vertical excess.

Conclusions:

  • Maxillary surgery is a cornerstone of modern orthognathic surgery for correcting dentofacial deformities.
  • Continued advancements in techniques and technology enhance patient outcomes.
  • A thorough understanding of surgical principles and considerations is crucial for success.