title: Maxillary orthognathic surgery.
abstract: Maxillary surgery to correct dentofacial deformity has been practiced for almost 100 years. Significant advances have made maxillary surgery a safe and efficient means of correcting midface deformities. Anesthetic techniques, specifically hypotensive anesthesia, have allowed for safer working conditions. Landmark studies have proven manipulation and segmentalization of the maxilla is safe and allowed this surgery to become a mainstay in corrective jaw surgery. This article provides an overview of surgical techniques and considerations as they pertain to maxillary surgery for orthognathic surgery. Segmental surgery, openbite closure, vertical excess, grafting, and a technology update are discussed.
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA. Electronic address: bauerre@upmc.edu.
authors.forename: Richard E
authors.initials: RE
authors.lastname: Bauer
authors.affiliation: Department of Oral and Maxillofacial Surgery, University of Pittsburgh Medical Center, Eye and Ear Institute, 203 Lothrop Street, Suite 214, Pittsburgh, PA 15213, USA.
authors.forename: Mark W
authors.initials: MW
authors.lastname: Ochs
mesh_terms: D059925:Anatomic Landmarks; D006801:Humans; D008310:Malocclusion / Q000601:surgery*; D008439:Maxillary Diseases / Q000601:surgery*; D009971:Orthodontics, Corrective; D056948:Orthognathic Surgical Procedures / Q000639:trends*; D019340:Osteotomy, Le Fort; D010155:Palatal Expansion Technique; D010347:Patient Care Planning
keywords: Dentofacial deformity; LeFort; Maxilla; Orthognathic surgery; Osteotomy