3.6 Orthognathic Surgery

Unit 3 - OMS Procedures

Orthognathic surgery corrects conditions of the jaw related to structure, growth, malocclusion or trauma

Categories:

  • BSSO – Bilateral Sagital Split Osteotomy (Mandible)
  • Genioplasty – Chin augmentation (Mandible)
  • Le Fort 1 – Osteotomy (Maxilla)
  • SARPE – Surgically Assisted Rapid Palatal Expansion (Maxilla)

These procedures require the Sterile Technique. They are typically performed under general anesthetia in a hospital setting. The patients are often admitted for a night or two.

Armamentarium:

OMS Tray (remove elevators and forceps if not extracting teeth)
Irrigation & Suction Tray

Disposables:
Anesthetic
Sterile Barriers (light handle, etc)
Sterile Drape
Surgical Site Prep
Gauze
Saline
Scalpel Blade
Suction Tubing
Sutures

Add:
Magnetic Drape, Mallet, Hemostats, Wire Twisters (2), Wire Cutter, 25G Wire
Surgical Splint and Kidney Basin (with betadine), Bone Plates and Screws, Screw Drivers, Plate Benders
Caliper (Maxilla)
Depth Gage (Mandible)

POWER: Drill and Saw System
Drill
Reciprocating Saw
Oscillating Saw

Latex Elastics (in betadine)

SARPE Add:
Expansion Key

Post Op Panorex and Ceph (Double Jaw and Genioplasty)


Link to POSTOPERATIVE INSTRUCTIONS following Orthognathic Surgery

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