Nazaj na ambulanto za maksilofacialno kirurgijo

Orthognathic or Orthofacial Surgery

Nepravilen položaj čeljusti lahko vpliva na ugriz, žvečenje in videz obraza. Odkrijte, kako lahko s skrbno načrtovanim kirurškim zdravljenjem izboljšamo delovanje čeljusti in skladnost obraznih potez.

Waiting periods

Concession

Self-pay

1-2 weeks

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O posegih

Ortognatska oziroma ortofacialna kirurgija je področje maksilofacialne kirurgije, ki se ukvarja s kirurškim zdravljenjem nepravilnosti v položaju, velikosti in medsebojnem odnosu zgornje in spodnje čeljusti ter drugih skeletnih nepravilnosti obraza. Namen zdravljenja je izboljšati funkcionalne in estetske značilnosti obraza, vzpostaviti ustreznejši ugriz ter izboljšati funkcije, kot so žvečenje, govor in dihanje. Pomembno vlogo ima tudi pri zdravljenju izbranih bolnikov z obstruktivno spalno apnejo (OSAS), pri katerih anatomske značilnosti čeljusti prispevajo k zožitvi zgornjih dihalnih poti.

Zdravljenje je individualno načrtovano in praviloma poteka v sodelovanju med specialistom maksilofacialne kirurgije in ortodontom. Pred posegom se opravijo klinični pregled, analiza obraznih in čeljustnih odnosov, ustrezna slikovna diagnostika ter natančno načrtovanje kirurškega posega. Kadar je potrebno, se zdravljenje dopolni s pred- in pooperativno ortodontsko terapijo, s katero se zagotovi čim boljši funkcionalni in estetski rezultat.

Med najpogostejše posege ortognatske kirurgije sodijo:

BSSO (bilateralna sagitalna delitvena osteotomija spodnje čeljusti): kirurški poseg, pri katerem se spremeni položaj spodnje čeljusti z namenom korekcije nepravilnosti ugriza in izboljšanja skladnosti čeljustnih odnosov.
Le Fort I osteotomy: kirurška korekcija položaja zgornje čeljusti, ki omogoča popravljanje različnih skeletnih nepravilnosti, vključno z odstopanji v njenem položaju in višini.
Genioplasty: kirurško preoblikovanje brade, s katerim se izboljša njen položaj, projekcija in skladnost s preostalim obrazom. Poseg se lahko izvaja samostojno ali kot del obsežnejše ortognatske korekcije.
SARPE (kirurško podprto hitro širjenje neba): poseg, namenjen razširitvi zgornje čeljusti pri izbranih bolnikih z njeno prečno zožitvijo, kadar zgolj ortodontsko širjenje ni zadostno.

Ortognatska kirurgija ima pomembno vlogo tudi pri zdravljenju obstruktivne spalne apneje (OSAS). Pri ustrezno izbranih bolnikih se lahko s spremembo položaja čeljusti izboljša prehodnost zgornjih dihalnih poti in zmanjša njihovo zapiranje med spanjem. Način zdravljenja se določi na podlagi celostne ocene bolnika in sodelovanja z ustreznimi specialisti.

Vsi navedeni posegi se izvajajo v splošni anesteziji. Zaradi zahtevnosti kirurškega zdravljenja in potrebe po pooperativnem spremljanju je potrebna hospitalizacija, ki praviloma vključuje eno do dve nočitvi na kliniki. Po posegu bolnik prejme natančna navodila glede prehrane, ustne higiene, omejevanja telesnih aktivnosti in nadaljnjih kontrolnih pregledov.

Cilj ortognatske oziroma ortofacialne kirurgije je doseči čim boljše ravnovesje med funkcionalnostjo, stabilnostjo ugriza in obrazno estetiko. S skrbnim načrtovanjem in multidisciplinarnim pristopom je mogoče izboljšati kakovost življenja bolnikov ter prispevati k dolgoročnim funkcionalnim in estetskim rezultatom.

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Telephone booking

Ordering by phone is possible from Monday to Friday between 8 am and 6 pm.

Call 031 214 444

Price lists

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Price lists

Schedules

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Schedules

Expert team

Maxillofacial Surgery Clinics

Mojca Knez, dr.med., dr.dent. med.

specialist in maxillofacial and oral surgery

She performs specialist examinations and the full range of procedures: from simple and complex oral surgery and implantology to orthognathic operations.

Opinions of satisfied customers

Our patients' opinions testify to the trust, professionalism, and personal approach that we implement in our work every day.

MD Medicina has friendly and, above all, professional staff. The anesthesiologists make sure you feel really safe. The surgeon gives you all the information and does his job professionally, taking care of you until you leave and of course afterwards. The nurses, physiotherapist and others make sure you don't miss anything, even if you really can't do anything at that time. Professionalism, friendliness, homeliness. This is probably all that we as patients want and deserve when we need surgery. And that's how I felt too, because everything, from the preparation for the procedure, the surgery and the postoperative care, was carried out superbly. Thank you to the entire team and all the best!

Katarina Sinkovec

Thank you to all of you who use the latest medical devices, methods and forms of work in your medical work. At the same time, you are training a new generation of doctors because you are personally convinced that a collaborative approach with the patient is not only beneficial for you, but also for us. This makes us feel "important".

Alenka Čurin Janžekovič & Marijan Janžekovič

When you enter the MD medicine building, you feel more comfortable than not, because you don't immediately have that familiar and unpleasant feeling and smell of a hospital. You are greeted by a friendly nurse who greets you kindly and explains everything you are interested in. Everything has a relaxing effect, so that that last feeling of anxiety before a doctor's examination or surgery really goes away. The doctor you visit is a top expert who devotes himself entirely to you, really listens to you, has time for you and, in the end, gives you professional advice. I always leave the premises of MD medicine calm and with a clear picture that there are people here who will always take care of you. Therefore, a sincere thank you to all of you.

Neda Fabrizio

I have had a personal doctor at MD medicine since 2017. From the very first visit, I entered the above-standard world of the health concession: a polite reception at the clearly arranged main entrance, a bright waiting room without crowds, an examination time at the agreed time in a modern and pleasantly equipped clinic, a friendly nurse who knows me by name, a relaxed and highly professional doctor who has time both to listen and to treat me. In the same building, I can also have a laboratory and many other health services performed. I can arrange orders, referrals, prescriptions, advice via email or by phone, which someone always answers... The high-quality system of MD medicine works not only for the benefit of the patient's health, but also dignity.

Maja Ivanic

Frequently asked questions

Do you have questions? Here you will find answers to the most frequently asked questions related to our services and procedures. If you cannot find the answer, please contact us - we are happy to help you.

No. You can book the examination privately without a referral. The specialist will examine the face and neck, assess the jaw joint, perform an intraoral examination, and analyse an orthopantomogram or CBCT scan. You will receive a written report with a treatment plan.

Before the procedure, we carry out a preoperative examination and laboratory tests. On the day of surgery, the procedure takes about 30 minutes and is performed under short general anesthesia without hospitalization. After two hours of rest, you can go home, and stitches are removed after one week.

Orthognathic (orthofacial) surgery corrects misalignments between the upper and lower jaws that cause difficulties in chewing, speaking, or breathing (including OSAS). A candidate is usually an adult whose jaw growth is complete and for whom orthodontic treatment alone is not sufficient.

Most patients return to light daily activities within 7–10 days after arthroscopic or open TMJ surgery. Full chewing load and sports activities are usually allowed after 4–6 weeks, depending on the type of procedure and individual progress.

If bone height is sufficient, the implant is placed immediately. In cases of insufficient bone, we perform a sinus lift and add a bone substitute (often enriched with the patient’s own PRP plasma). The implant is usually placed after 4–6 months, once the new bone has integrated.

MD MEDICINE, health and
other services, doo
DŠ: SI59542217
Registration No.: 5748429000

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