Post-operative avascular necrosis of the maxilla: a rare complication following orthognathic surgery.

We present a patient with sickle cell trait who suffered avascular necrosis of the maxilla as a complication of maxillary osteotomy. Understanding the blood supply of the maxilla and how possible patient related, anaesthetic and operative factors affect it, is important in understanding how the vascularity of the maxilla can become compromised in a surgical procedure. The perioperative parameters were analysed to identify any prognostic elements.

Orthodontic treatment of a stubborn palatally ectopic canine: a case report.

This is a case report that highlights a different treatment approach in dealing with palatally ectopic canines. The modified transpalatal arch with an 'active' arm was used to align a palatally ectopic canine with 'push' mechanics after the initial use of more conventional 'pull' mechanics (piggy-back archwire technique) had failed.

Orthodontic treatment following orthognathic surgery: how long does it take and why? A retrospective study.

Purpose: This study was conducted to examine the duration of postoperative orthodontic treatment of patients who underwent combined orthodontic and orthognathic treatment and investigate factors that might influence this, to assess the strength of association between preoperative and postoperative orthodontic treatment duration, and to perform a retrospective power calculation to assess the likelihood of this study detecting a clinically significant (weeks) difference.

Patients And Methods: Records of patients who had undergone combined orthodontic and orthognathic treatment between 1998 and 2003 (n = 69) were obtained from 3 consultant orthodontists at 3 major hospitals in Leeds, UK. The duration of postoperative orthodontic treatment was calculated as the date of the operation to the date of fixed appliance removal.

Visualizing three-dimensional facial soft tissue changes following orthognathic surgery.

Laser scanning can be used to visualize the face in three dimensions. These scans can then be processed to enable assessment of facial changes. The aim of this single-centre, prospective, longitudinal, cohort study was to investigate whether four different visualization methods correctly represented facial changes occurring as a result of orthognathic surgery.