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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2019, Number 1

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Rev Mex Cir Bucal Maxilofac 2019; 15 (1)

Transoperative gauge for measurement in orthognatic surgery

Trujillo Fandiño JJ, González-Olmedo VM

Language: Spanish
References: 20
Page: 28-34
PDF size: 312.09 Kb.


ABSTRACT

Orthognatic surgery is one of the branches of maxillofacial surgery that requires a comprehensive analysis of the patient, also a meticulous cephalometric planning, facial clinical analysis and model studying, to reach an accurate diagnosis and treatment for the patient. It’s necessary to employ every resource preoperatively, transoperatively and postoperatively, to offer to our patients the best treatment available. One of the problematical issues during the orthognatic surgery procedure is the difficulty of measuring the maxillary movement. The difficulty of measuring the transoperative vertical and anterior-posterior movements of the maxilla and chin, have been treated to achieve by various ways and different authors. In our hospital we use a modified Vernier gauge that allows measuring the anterior-posterior maxillary and chin position transoperatively, this helps in quantify certainty the position and quantity of millimeters achieved in the operating room. This permits to corroborate the programmed maxillary movement and to take the decision on advance or not the chin, and if the advancement is indicated, know the amount of millimeters to advance. The author introduces a gauge of simple elaboration, as a resource of measurement in the movement during orthognatic surgery.


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