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Official Journal of the Italian Society of Maxillofacial Surgery
Frequency: 3 issues
Online ISSN 1827-1901
Operative Unit of Maxillofacial Surgery, ASL Roma E Villa Betaina, S. Spirito Hospital, Rome, Italy
The aim of orthognathic surgery is to resolve functional and, if possible, esthetic problems of the face affected by maxillo-mandibular malformation. Our experience and that of other authors show that esthetic concern is a principal motivation in the patient’s decision to undergo an operation and/or orthodontic treatment. The author suggests a multidisciplinary approach to the maxillo-mandibular malformation, in which the orthodontist, the maxillofacial surgeon, and other specialists work in close coordination. Moreover, he emphasizes the role of the psychologist in the pre-operative and post-operative management of the patient. For patients affected by maxillo-mandibular malformation, our therapeutic protocol takes into consideration the cephalometric analysis of hard and soft tissues, photometry, gypsometry, temporomandibular joint functional examination, psychological evaluation, but also subjective evaluation of surgeon and of multidisciplinary team, and the patient’s expectation. In particular, the author suggests the employment of pre-operative computerized visualization of the results, that the patient can examine and discuss together with the surgeon and the psychologist. Moreover, using the same computered visualization, we can also derive a computerized plan of surgical treatment.