1. ORTHOGNATHIC JAW SURGERY & BIMAXILLARY SLEEP SURGERY Sabine C. Girod, MD, DDS, PhD, FACS Chief, Stanford Oral Medicine & Maxillofacial Surgery

2. What is Orthognathic Jaw Surgery? Corrective jaw surgery when your jaw has grown out of alignment and can not be corrected with braces, e.g. a severe underbite like in this patient Insert movie

3. What is Bimax Sleep Surgery? The same jaw surgery is also used in treatment of Sleep Apnea, so called “Bimax Surgery” to open the airway

4. Treatment Steps in Orthognathic Jaw Surgery 1. Step: 12-18 month preoperative orthodontic treatment (Braces, Invisalign) 2. Step: Surgery (1-3 days in the hospital) 3. Step: 6 month postoperative orthodontic treatment

5. Surgical Procedure – Lower Jaw

6. Surgical Procedure – Upper Jaw

7. Double Jaw or “Bimax” Surgery Surgery in the upper and lower jaw at the same time.

8. Small titanium plates are used for fixation of the jaw – no “wiring shut” any more.

9. After Surgery - Surgical Splint and Elastics You have to wear a plastic splint and elastics for up to 3 weeks after surgery.

10. Jaw surgery will correct your bite and improve your facial features AfterBefore

11. Upper jaw surgery for correction of midface deficiency and underbite

12. Bimax Surgery for Sleep Apnea Bimaxillary jaw advancement surgery is very successful in the treatment of severe sleep apnea. On the right you see a patients after10- 15mm advancement and significant opening of the airway after surgery.

13. Stanford Oral Medicine & Maxillofacial Surgery Sabine C. Girod, MD, DDS, PhD, FACS Chief, Stanford Oral Medicine & Maxillofacial Surgery Associate Professor of Surgery Stanford University Medical Center & Lucile Packard Children's Hospital 1000 Welch Road, Palo Alto, CA 94304-5715 Patient Coordinator: Michelle Orozco (650) 736-4355 MOrozco@stanfordmed.org