title: An accurate bimaxillary repositioning technique using straight locking miniplates for the mandible-first approach in bimaxillary orthognathic surgery.
abstract: Bimaxillary orthognathic surgery has been widely performed to achieve optimal functional and esthetic outcomes in patients with dentofacial deformity. Although Le Fort I osteotomy is generally performed before bilateral sagittal split osteotomy (BSSO) in the surgery, in several situations BSSO should be performed first. However, it is very difficult during bimaxillary orthognathic surgery to maintain an accurate centric relation of the condyle and decide the ideal vertical dimension from the skull base to the mandible. We have previously applied a straight locking miniplate (SLM) technique that permits accurate superior maxillary repositioning without the need for intraoperative measurements in bimaxillary orthognathic surgery. Here we describe the application of this technique for accurate bimaxillary repositioning in a mandible-first approach where the SLMs also serve as a condylar positioning device in bimaxillary orthognathic surgery.
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan. iwai104oams@yahoo.co.jp.
authors.forename: Toshinori
authors.initials: T
authors.lastname: Iwai
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Omura
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Honda
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024, Japan.
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Yamashita
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Shibutani
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Fujita
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024, Japan.
authors.forename: Hikaru
authors.initials: H
authors.lastname: Takasu
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Medical Center, 4-57 Urafunecho, Minami-ku, Yokohama, 232-0024, Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Murata
authors.affiliation: Department of Oral and Maxillofacial Surgery/Orthodontics, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan.
authors.forename: Iwai
authors.initials: I
authors.lastname: Tohnai
mesh_terms: D001860:Bone Plates; D006801:Humans; D008437:Maxilla / Q000601:surgery*; D056948:Orthognathic Surgical Procedures / Q000295:instrumentation*; D019340:Osteotomy, Le Fort; D010347:Patient Care Planning; D011474:Prosthesis Design; D014716:Vertical Dimension
keywords: Bilateral sagittal split osteotomy; Bimaxillary orthognathic surgery; Le Fort I osteotomy; Mandible-first approach; Straight locking miniplate