Orthognathic and TMJ surgery. Larry Wolford protocols

Category: Surgery

Instructor(s): Larry Wolford

Course structure: Lessons: 7 lessons | Duration: 6 h 01 min

Course overview

Powerful training on orthognathic and TMJ surgery protocols from legendary oral and maxillofacial surgeon Larry Wolford!
You will learn the protocols of:
– Mandibular and maxillary osteotomy
– Surgical maxillary expansion
– Surgery first approach
– Surgical occlusal plane change
– TMJ surgery (including total prosthetics).
The lecturer will guide you through each stage of treatment (instruments, protocols, postoperative period, complications) of pathologies such as:
– Condylar hyperplasia
– Reactive arthritis
– Injuries
– Tumors
– TMJ ankylosis
– Craniofacial deformities
– Upper airway obstruction and sleep apnea.

Curriculum

Lesson 1. Occlusal plane and orthognathic surgery

• – Chin surgery: bone and alloplastic augmentation
• – The technique of chin surgery
• – Mandibular subapical osteotomy: indications and methods
• – Mandibular sagittal split osteotomy: tools, advantages and modification of the technique
• – Relapses of the mandible position after orthognathic surgery: causes.

Lesson 2. Maxillary osteotomy. Improving nasal breathing

• – Orthognathic surgery and TMJ problems
• – Posterior displacement of the lower jaw
• – Third molars: the timing of extraction before orthognathic surgery
• – Methods of prevention of postoperative complications
• – Distraction mandibular osteogenesis: indications and techniques
• – Virtual surgical planning (VSP) of surgeries
• – Maxillary osteotomy: technical aspects
• – Surgical maxillary expansion
• – Methods of improving nasal breathing during orthognathic surgery
• – Patient management in the postoperative period.

Lesson 3. Surgery first approach. Surgical change of the occlusal plane

• – Surgery first before orthodontic treatment:
• Indications
• Contraindications
• Risks.
• – Occlusal plane: definition
• – Change of the occlusal plane
• – Indications for surgical change of the occlusal plane
• – Advantages of clockwise rotating of the maxilla-mandibular complex
• – Counter-clockwise rotation of the maxilla-mandibular complex: functional and aesthetic changes.

Lesson 4. TMJ surgery. Condylar hyperplasia

• – Evaluation of the state of the TMJ: main criteria
• – Anterior displacement of the articular disk
• – Mitek Mini anchor technique: indications
• – TMJ pathologies leading to condyle growth:
• Condylar hyperplasia type 1 (1A and 1B)
• Condylar hyperplasia type 2 (osteochondroma).
• – Protocol for the treatment of type 1 condylar hyperplasia
• – Protocol for the treatment of type 2 condylar hyperplasia
• – Clinical cases.

Lesson 5. Total TMJ prosthetics. Reactive arthritis

• – The space-opening technique for disk repositioning with Mitek anchor (Dallas procedure)
• – Causes of progressive condyle resorption in growing and adult patients
• – Adolescent internal condylar resorption (AICR): pathophysiology and treatment methods
• – Total TMJ prosthetics: indications and surgical technique
• – Virtual surgical planning of treatment
• – Reactive arthritis: causes, MRI diagnostics and treatment tactics
• – Clinical cases.

Lesson 6. Trauma, tumors, ankylosis. Craniofacial deformities

• – Trauma: causes, MRI diagnostics and treatment tactics
• – Tumors: causes, MRI diagnostics and treatment tactics
• – Ankylosis: causes, MRI diagnostics and treatment tactics
• – Craniofacial deformities: surgical tactics
• – Hemifacial microsomia: treatment protocol
• – Treacher Collins syndrome: treatment protocol
• – Juvenile idiopathic osteoarthritis: treatment protocol
• – Connective tissue diseases and autoimmune disorders
• – Сlinical cases.

Lesson 7. Diagnosis and Management of Upper Airway Obstruction and Sleep Apnea

• – Obstructive sleep apnea syndrome: classification, symptoms and diagnosis
• – Zones and effects of upper airway obstruction: nose, mouth, oropharyngeal region
• – Cephalometric factors of obstructive sleep apnea
• – Appliances for the treatment of sleep apnea: an overview
• – Surgical treatment of upper airway obstruction
• – Removal of nasal conchae: radiological assessment and indications
• – Adenoid tissue hypertrophy: surgical tactics
• – Modified UPPP technique
• – Macroglossia: glossotomy technique
• – Posterior respiratory space: ways to increase
• – Counter-clockwise rotation of the maxilla-mandibular complex for the treatment of sleep apnea
• – TMJ pathologies associated with sleep apnea
• – Orthognathic surgery and additional manipulations for the treatment of upper airway obstruction and sleep apnea.