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Functional / Orhtognathic Surgery

Orthognathic surgery is conducted for the functional and/or aesthetic malalignment of the upper and lower jaws, mostly in conjuction with orthodontic treatment for dental malalignment.

Jaw deformities

Malalignment of the jaw bones – whether in infancy or adulthood – can lead to both functional and aesthetic issues. Patients suffer from biting and speech impairment as well as sleep and breathing disturbances functionally, but can also be challenged by the psychological burden of facial asymmetry and other skeletal deformities.

 

At MFACE, we offer the complete treatment course including diagnosis, 3D treatment planning and orthognathic surgery for jaw deformities of any age group. This includes orthognathic surgery procedures for the upper and lower jaws and the chin as well as adjunct procedures like rhinoplasty and Micro-Autologous Fat Transfer (MAFT) to completely adress both functional and aesthetic treatment goals; sometimes we can even combine some of these procedures in one stage.

 

We closely work together with our referring orthodontists to develop an individual concept for each patient that adresses both functional and aesthetic considerations. To achieve the best result possible we use the latest diagnostic tools like 3D-photogrammetry (3dMD FaceTM), 3D-CBCT/DVT and 3D planning (DolphinTM), and gentle techniques like piezosurgery.

 

Learn more about our technical equipment.

Cleft Lip and Palate

Cleft lip and palate are some of the most common congenital deformities. However, the birth of a child with cleft lip and/or palate is challenging to both the parents and the patients themselves. Clefts can impair the patient’s breathing, feeding, speech and hearing, depending on the cleft type and extent.

 

Nowadays, clefts are surgically corrected in early infancy, beginning with lip surgery at 4 months and followed by palate surgery at 9-15 months of age. The surgery is prepared by using either palatal plates or so-called NAM-plates. These plates help to guide the growing segments of the lip, alveolus, palate and nose and separate the oral and nasal cavities to improve the infant’s breathing, drinking and feeding function.

 

At MFACE, we offer thorough personal consultations for parents and children as well as the preoperative treatment on an outpatient basis. The surgery itself is conducted at the HELIOS Klinikum München West under close interdisciplinary care with the ENT and Anesthesiology departments.

 

We also provide Naso-Alveolar Molding (NAM) as a special preoperative treatment modality for infants with cleft lip and palate and closely work together with colleagues of all relevant medical and dental disciplines (orthodontists, ENT, phoniatrics and pedaudiology, pediatrics, gynecology, speech therapy, genetics etc.)

 

The NAM treatment is only offered in a chosen few centers around the globe. Dr. Loeffelbein frequently visited the New York University department where the tratment was invented, and after intensive research and application he established the method in Munich in 2010. In addition to treating the palatal cleft, this method also deals with the nasal deformity by using an outrigger appliance for constant and gentle force to the nasal tip and ala on the affected side or sides. The nasal cartilage can only be molded during the first months of life to improve nasal and overall facial symmetry and facilitate easier cleft closure. This can lead to a reduction of overall surgeries and improve the surgical outcome significantly.

 

Dr. Loeffelbein is an renowned expert in NAM and surgical treatment of cleft lip and palalte. He also published numerous papers regarding this topic and initiated a scientific project at the Technical University of Munich to simplify the production process of the NAM plates.

 

If You would like to learn more about NAM and the related scientific project at the Technical University of Munich, please go to the following link.

 

NAM-Website of the Munich Technical University (Technische Universität München)

Skull and facial deformities in early infancy

If parents note skull or facial asymmetries on their newborn babies, they are almost always worried and look for professional help. These deformities generally can have two different causes that are treated in very different ways. Positional deformities develop after birth when infants sleep on only one side or the back of the skull. These deformities can be treated by helmet therapy or, in mild cases, can diminish over time during the growth process.

 

The other group of skull deformities is much mire dangerous and needs to be treated surgically. If skull deformities are already apparent at birth, it is a strong sign of premature fusion of the skull sutures, which is called „craniosynostosis“. If not corrected surgically, this fusion can lead to developmental impairment, epilepsy, skull asymmetry and deformity. Also they can be a part of a more complex disease (syndrome), that should be genetically analyzed as early as possible to facilitate the best treatment course for the patient.

 

Dr. Lonic is a renowned expert in the field of craniosynostosis, held numerous lecures in Europe and Asia and served as Acting Head of the Craniofacial Department at Munich Bogenhausen Hospital, where he was treating both syndromic and non-syndromic patients with craniosynostosis.

 

At MFACE, we provide extensive professional consultation for affected parents and children and the complete preoperative management on an outpatient basis.

Traumatic deformities

Aquired deformities as a result of external force are referred to as traumatic deformities. Accidents are the major cause of soft or bony tissue deformities of the face and can lead to impairments of eye movement, biting and breathing.

 

At MFACE and the HELIOS Klinikum München West we treat all acute facial bone fractures and residual deformities after trauma. This includes fractures of upper and lower jaws, midface, nose, eye socket, tooth luxation as well as soft tissue injuries. We aim for the complete functional reconstruction using the smallest possible incisions for minimal scar burden.