Episode Details

Top 5 Topics:

- BSSO setback relapse – why mandibular setbacks fail and how to prevent them

- TMJ complications & nerve injuries during orthognathic surgery

- Airway risks after maxillary advancement

- Major intraoperative bleeding control in orthognathic surgery (pterygomaxillary junction, internal maxillary artery)

- Stability hierarchy in orthognathic surgery – Proffit & Turvey’s landmark findings

*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***

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Questions & Topics:

00:00 – First step in the preoperative workup for skeletal Class III malocclusion

03:15 – Most common cephalometric finding in Class III (Angle vs Steiner analysis)

06:40 – Surgical options for true skeletal Class III correction (Le Fort I vs BSSO setback)

09:20 – Biggest complication of BSSO setback and prevention strategies

12:05 – Airway structure to check before maxillary advancement

15:10 – Management of major bleeding at the pterygomaxillary junction

18:45 – Landmark stability studies in orthognathic surgery (Proffit & Turvey)

22:30 – What to do if a Le Fort cut drifts superior toward the cranial base

26:00 – Vertical dimension problem in long-face Class III patients

30:10 – Muscle group responsible for relapse after BSSO setback (suprahyoid complex)

34:20 – Signs of impending airway obstruction post maxillary advancement

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 9.2025

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