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MARVELS OF ORAL & MAXILLOFACIAL
SURGERY
Prof.Dr.Varghese Mani
.
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•OMFS Bridges Medicine & Dentistry
Humble Beginning
Dento-alveolar Surgery
Oral Surgery
Oral & Maxillofacial Surgery
Craniofacial Surgery Head & Neck Surgery
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Advances in Medicine & Allied Sciences
• Investigations
•Imaging Techniques
•Medications
•Surgical Techniques
• Instrument Technologies
•Biotechnology
• Information Explosion
OMFS too kept the pace
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Trauma
IMF,
Trans osseous wiring
Rigid fixation – Plating
Stainless Steel
Titanium
Bioresorbable
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Orthodontic Surgery
Orthognathic Surgery
Orthomorphic & Orthofacial Surgery
Craniofacial Esthetic Surgery
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Cleft lip & Palate
Facial Clefts
Craniofacial Anomalies
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1 Distraction Osteogenesis
2 Implantology
3 Maxillofacial Oncosurgery
4 Microvascular Reconstructive Surgery
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TRAUMA
AIRWAY OBSTRUCTION
IMP MAX. FALLEN TONGUE
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IMFIntermaxillary Fixation
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Reconstruction Plate Mandible
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Nasoetmoidal Fractures
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TUMOURS
AMELOBLASTOMA
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RECONSTRUCTED WITH TMF FLAP
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RECONSTRUCTED WITH TMF FLAP
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FACIAL
PROPORTION
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Beauty is no more skin-deepDeft carpentry on bone
Move the segments in all three dimensions of
space
Alter the shape & size
Towards better esthetics & function.
Painted face or a sculptured face ?
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Analysis of beauty
Is proportions simple notions ?
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Prediction tracing - mandible
Go wrong and face the music.
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Prediction tracing - maxilla
Over enthusiasm predicts doom.
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Lefort I Osteotomy
• Vertical and sagittal excess of maxilla -Protruded upper jaw, gummy smile.
• Facial asymmetry –Occlusal cant.
• Retruded maxilla –Hypo plastic maxilla, Cleft lip & palate deformities.
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Pre – op x-ray Post – op x-ray
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Who is afraid of Gummy Smile?
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Sagittal Split Osteotomy
Versatile procedure
for both mandibular
prognathism and
retrognathism.
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Preoperative
Postoperative
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As vertebrates climbed the ladder of evolution
Towards the goal of perfection
Brain enlarged for better cognition
Jaws lost many a function
Size suffered a gradual reduction
The seat of special sensory reception
Face moors the fine human expression
And aimed for the divine proportion