Aesthetic Perspectives in Jaw Surgery

Author: Harvey M. Rosen
Published: July 1998
Publisher: Springer-Verlag New York, LLC
ISBN: 038798304X
Hardcover Book
Number of Pages: 284

Click to compare book prices for Aesthetic Perspectives in Jaw Surgery

The book contains both black-and-white and color illustrations.This new book presents the latest aesthetic enhancements in orthognathic (jaw) surgery. Dr. Rosen describes his own aesthetic techniques of balanced and proportioned soft facial tissue correction. With close to 200 illustrations in full-color, this book will be extremely useful to the surgeon interested in the aesthetics of plastic, maxillofacial and orthodontic surgery. Aesthetic Perspectives in Jaw Surgery represents a personal aesthetic philosophy of jaw surgery that has evolved over fifteen years. It is a philosophy that is based upon three underlying aesthetic principles that are repeatedly emphasized and form the foundation for surgical corrections. The first is that the skeletal support of the facial soft tissues is a critical factor in determining the aesthetic success or failure of orthognathic surgery. Accordingly, soft tissue goals must influence the direction and extent of skeletal displacements. Second, to achieve these soft tissue goals, it is generally more predictable to expand (enlarge) skeletal volume than it is to contract (reduce) skeletal volume. Third, that efforts to expand the facial skeleton frequently result in facial skeletal disproportion which, under the right circumstances, can be extremely attractive. The contents are arranged more as a narrative than text. The initial chapters discuss treatment planning in the context of these aesthetic concepts and are based on qualitative descriptions of the facial morphology. Technical aspects are only discussed if they will make an aesthetic difference. This book is a summation of the author's philosophical approach to the orthognathic surgery patient. It is not meant to be nor is it a textbook on orthognathic surgery. Rather, it is a demonstration of one author's perspective of the analysis and treatment of dentofacial anomalies. The author's philosophy is based on three basic principles: the facial soft tissues rather than cephalometric measurements should direct treatment planning; skeletal expansion allows a more predictable soft tissue response; and the facial skeletal disproportion that results from skeletal expansion usually provides an aesthetically attractive endpoint. This approach runs counter to traditional methods that rely more heavily on cephalometric data to dictate the surgical plan. Many clinicians may be skeptical of this philosophy and it is, indeed, somewhat controversial. However, overall, this author supports his concepts well with his clinical results. This book is a valuable addition to the library of any clinician, surgeon, or orthodontist who treats orthognathic patients. This book is largely composed of clinical photographs and easily interpreted figures. Therefore, the entire book can be read without committing a significant amount of time. The first portion of the book focuses on analysis and treatment planning utilizing the principles espoused by the author. The bulk of the book then describes specific clinical situations, including Class II and Class III skeletal relationships, the long face patient, and the short face patient. The majority of clinical cases demonstrate outstanding aesthetic results, however, a few patients appear over-expanded, carrying the disproportion concept too far.In addition, cephalometric data are not provided for the clinical cases. By including such data, the author could have further supported his opinion that its importance should be de-emphasized. Finally, osseous genioplasty and soft tissue corrections are discussed. This book is well-written, easy to read, and clearly expresses the author's philosophy. It provides an innovative approach to the treatment of the dentofacial patient not seen in traditional orthognathic surgery textbooks.

Table of Contents
Foreword: An Orthodontic Viewpoint
Foreword: A Surgical Viewpoint
Preface
Acknowledgments
Glossary of Symbols and Abbreviations
Pt. I Principles 1
Ch. 1 Treatment Planning: Aesthetic Goals 3
Ch. 2 Treatment Planning: The Role of Facial Disproportion 25
Ch. 3 Treatment Planning: Prediction Tracings and Model Surgery 33
Ch. 4 Surgeon-Patient Communications 43
Ch. 5 Aesthetic Orthodontic Considerations in the Surgical Patient 49
Ch. 6 Technical Considerations 63
Pt. II Surgical Corrections 77
Ch. 7 Facial Concavity and Anterior Divergence: The Class III Deformity 79
Ch. 8 Facial Convexity and Posterior Divergence: The Class II Deformity 129
Ch. 9 Vertical Facial Excess 151
Ch. 10 Vertical Facial Deficiency 213
Pt. III Adjunctive Considerations 245
Ch. 11 Chin Surgery 247
Ch. 12 Adjunctive Soft Tissue Surgery 273
Ch. 13 Aesthetic Postoperative Considerations 277
Index 281

Click to compare book prices for Aesthetic Perspectives in Jaw Surgery Aesthetic Perspectives in Jaw Surgery

Compare Shop Books - Help - About - Book Links - Book Coupons