{"id":2931,"date":"2016-01-19T18:29:20","date_gmt":"2016-01-19T18:29:20","guid":{"rendered":"http:\/\/nantes-maxillo.com\/?page_id=2931"},"modified":"2024-05-07T12:14:50","modified_gmt":"2024-05-07T10:14:50","slug":"osteotomie-haute-mandibule","status":"publish","type":"page","link":"https:\/\/nantes-maxillo.com\/preprod\/osteotomie-haute-mandibule\/","title":{"rendered":"Qu\u2019est-ce que l\u2019ost\u00e9otomie haute de la mandibule ?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2931\" class=\"elementor elementor-2931\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88ff005 e-flex e-con-boxed e-con e-parent\" data-id=\"88ff005\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1319ee8 e-con-full e-flex e-con e-child\" data-id=\"1319ee8\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-02e7002 elementor-widget elementor-widget-text-editor\" data-id=\"02e7002\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h3>Ost\u00e9otomie Haute (ou Courte)<\/h3><p>Ost\u00e9otomie mini-invasive de la mandibule<\/p><p>L\u2019<a href=\"https:\/\/nantes-maxillo.com\/informations-patients\/osteotomie\">ost\u00e9otomie<\/a>\u00a0de la mandibule (m\u00e2choire inf\u00e9rieure) est une intervention courante dans la chirurgie des dysmorphoses dentofaciales, y compris pour les dysmorphoses de faible importance. Elle vise \u00e0\u00a0<strong>avancer ou reculer la mandibule<\/strong>\u00a0pour l\u2019accorder avec l\u2019arcade antagoniste (elle vise \u00e0 faire grandir ou diminuer la m\u00e2choire inf\u00e9rieure pour l\u2019accorder avec la machoire oppos\u00e9e).<\/p><p>La technique classique est une ost\u00e9otomie Basse et longue, le long du nerf alv\u00e9olaire inf\u00e9rieur. C\u2019est l\u2019ost\u00e9otomie\u00a0<strong>d\u2019Epker<\/strong>, modifi\u00e9e par\u00a0<strong>Obwegeser<\/strong>. Elle pr\u00e9sente pour inconv\u00e9nient principal d\u2019entrainer une perte de la sensibilit\u00e9 de la l\u00e8vre. Par ailleurs, parfois le bord osseux est irr\u00e9gulier, ce qui peut se voir, ou \u00eatre inconfortable dans certaines positions.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b01c605 e-con-full e-flex e-con e-child\" data-id=\"b01c605\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-799a56e elementor-widget elementor-widget-spacer\" data-id=\"799a56e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de2228a elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"de2228a\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-info-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 110c23.196 0 42 18.804 42 42s-18.804 42-42 42-42-18.804-42-42 18.804-42 42-42zm56 254c0 6.627-5.373 12-12 12h-88c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h12v-64h-12c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h64c6.627 0 12 5.373 12 12v100h12c6.627 0 12 5.373 12 12v24z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84dc143 elementor-widget elementor-widget-heading\" data-id=\"84dc143\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Ce qu\u2019il faut retenir :<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17b4208 elementor-widget elementor-widget-text-editor\" data-id=\"17b4208\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>moins de troubles de la sensibilit\u00e9\u00a0de la l\u00e8vre<\/li><li>moins de gonflements<\/li><\/ul><p>Il s\u2019agit d\u2019une\u00a0technique mini-invasive, possible avec un \u00e9quipement particulier, permettant de r\u00e9aliser l\u2019ensemble de la chirurgie par une\u00a0petite incision\u00a0dans la bouche, sans aucune cicatrice visible \u00e0 l\u2019ext\u00e9rieur.<\/p><ul><li>pas de d\u00e9calage osseux au bord inf\u00e9rieur de la mandibule<\/li><li>pas besoin de retirer les plaques d\u2019ost\u00e9osynth\u00e8se<\/li><li>pas besoin de retirer les dents de sagesse avant la chirurgie<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-52a3bee e-flex e-con-boxed e-con e-parent\" data-id=\"52a3bee\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-86db430 elementor-widget elementor-widget-image\" data-id=\"86db430\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"400\" height=\"362\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-haute-ou-courte.gif\" class=\"attachment-large size-large wp-image-2944\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00ef8dc elementor-widget elementor-widget-spacer\" data-id=\"00ef8dc\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aaed53f elementor-widget elementor-widget-heading\" data-id=\"aaed53f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Il existe donc trois techniques d\u2019ost\u00e9otomies mandibulaires :<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a45f5e elementor-widget elementor-widget-spacer\" data-id=\"5a45f5e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c51e660 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c51e660\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-974c9e3\" data-id=\"974c9e3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-fe3c1e3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fe3c1e3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-53f44b6\" data-id=\"53f44b6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a8b157 elementor-widget elementor-widget-image\" data-id=\"1a8b157\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"320\" height=\"290\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-basse-de-type-epker.jpeg\" class=\"attachment-large size-large wp-image-2938\" alt=\"Oste\u0301otomie-basse-de-type-Epker\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-basse-de-type-epker.jpeg 320w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-basse-de-type-epker-300x272.jpeg 300w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Oste\u0301otomie basse de type Epker<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-ef00e93\" data-id=\"ef00e93\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4e85a2d elementor-widget elementor-widget-image\" data-id=\"4e85a2d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"320\" height=\"290\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-basse-de-type-obwegeser.jpeg\" class=\"attachment-large size-large wp-image-2939\" alt=\"Oste\u0301otomie-basse-de-type-Obwegeser\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-basse-de-type-obwegeser.jpeg 320w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-basse-de-type-obwegeser-300x272.jpeg 300w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Oste\u0301otomie basse de type Obwegeser<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc7f8b3 elementor-widget elementor-widget-text-editor\" data-id=\"dc7f8b3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Les deux premi\u00e8res (Obwegeser et Epker) se ressemblent. La technique d\u2019Eplker est une \u00e9volution de la premi\u00e8re. Elles pr\u00e9sentent toutes les deux l\u2019inconv\u00e9nient de se r\u00e9aliser le long du nerf alv\u00e9olaire inf\u00e9rieur, et d\u2019entrainer une hypoesth\u00e9sie partielle dans certains cas (7 \u00e0 67% des cas selon les s\u00e9ries).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-86b84af\" data-id=\"86b84af\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0ed4059 elementor-widget elementor-widget-image\" data-id=\"0ed4059\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"290\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-haute-e1518978532392.jpeg\" class=\"attachment-large size-large wp-image-2937\" alt=\"Oste\u0301otomie Haute\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-haute-e1518978532392.jpeg 320w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-haute-e1518978532392-300x272.jpeg 300w\" sizes=\"(max-width: 320px) 100vw, 320px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Oste\u0301otomie Haute<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-378eca7 elementor-widget elementor-widget-text-editor\" data-id=\"378eca7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>La technique de l\u2019ost\u00e9otomie Haute pr\u00e9sente l\u2019avantage de se situer\u00a0<strong>au dessus du nerf<\/strong>. Les pertes de sensibilit\u00e9 sont donc moins fr\u00e9quentes (0,4 \u00e0 0,5% des cas selon les s\u00e9ries).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-badfc13 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"badfc13\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-80f3dff\" data-id=\"80f3dff\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4e36cd8 elementor-widget-divider--view-line_text elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"4e36cd8\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#0c0d0e;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-block-end:0;flex-grow:1;border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{flex-grow:0;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left 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.elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-end .elementor-divider__element{margin-inline-end:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-block-start:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}.e-con-inner>.elementor-widget-divider,.e-con>.elementor-widget-divider{width:var(--container-widget-width,100%);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<span class=\"elementor-divider__text elementor-divider__element\">\n\t\t\t\tEn r\u00e9sum\u00e9, il existe deux types principaux d\u2019ost\u00e9otomies mandibulaires :\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-d5bd539 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d5bd539\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b4dcbb7\" data-id=\"b4dcbb7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-41d9141 elementor-widget elementor-widget-heading\" data-id=\"41d9141\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ost\u00e9otomies Basses<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63506ca elementor-widget elementor-widget-image\" data-id=\"63506ca\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"287\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-obwegeser-300x287.gif\" class=\"attachment-medium size-medium wp-image-2943\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Ost\u00e9otomie d'Obwegeser<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-427f751 elementor-widget elementor-widget-text-editor\" data-id=\"427f751\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Les\u00a0<strong>ost\u00e9otomies basses<\/strong> peuvent \u00eatre int\u00e9ressantes dans certaines asym\u00e9tries horizontales, mais augmentent le risque de troubles de la sensibilit\u00e9 de la l\u00e8vre en post-op\u00e9ratoire. Par ailleurs, elles ne permettent pas d\u2019abaisser l\u2019angle de la mandibule dans les asym\u00e9tries verticales, et une d\u00e9calage osseux du bord inf\u00e9rieur peut \u00eatre g\u00eanant.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-00e17da\" data-id=\"00e17da\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0592fea elementor-widget elementor-widget-heading\" data-id=\"0592fea\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Ost\u00e9otomies Hautes<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-624a2a3 elementor-widget elementor-widget-image\" data-id=\"624a2a3\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"272\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-haute-ou-courte-300x272.gif\" class=\"attachment-medium size-medium wp-image-2944\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Ost\u00e9otomie Haute ou Courte, possibilit\u00e9 de corriger la position de l'angle mandibulaire<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cbd1216 elementor-widget elementor-widget-text-editor\" data-id=\"cbd1216\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>L\u2019<strong>ost\u00e9otomie Haute<\/strong>\u00a0de la mandibule est plus courte et\u00a0diminue donc le risque d\u2019atteinte du nerf alv\u00e9olaire inf\u00e9rieur\u00a0(qui d\u00e9termine la sensibilit\u00e9 de la l\u00e8vre inf\u00e9rieure). Elle permet \u00e9galement de remonter ou d\u2019abaisser l\u2019angle de la mandibule, sans que le d\u00e9calage osseux ne puisse \u00eatre visible ou palpable. Il s\u2019agit d\u2019une\u00a0technique mini-invasive\u00a0dont les suites sont simples.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8d6e77e elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8d6e77e\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c06c6e3\" data-id=\"c06c6e3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f37e0e elementor-widget-divider--view-line_icon elementor-view-default elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"5f37e0e\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon elementor-divider__element\">\n\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-search-plus\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M304 192v32c0 6.6-5.4 12-12 12h-56v56c0 6.6-5.4 12-12 12h-32c-6.6 0-12-5.4-12-12v-56h-56c-6.6 0-12-5.4-12-12v-32c0-6.6 5.4-12 12-12h56v-56c0-6.6 5.4-12 12-12h32c6.6 0 12 5.4 12 12v56h56c6.6 0 12 5.4 12 12zm201 284.7L476.7 505c-9.4 9.4-24.6 9.4-33.9 0L343 405.3c-4.5-4.5-7-10.6-7-17V372c-35.3 27.6-79.7 44-128 44C93.1 416 0 322.9 0 208S93.1 0 208 0s208 93.1 208 208c0 48.3-16.4 92.7-44 128h16.3c6.4 0 12.5 2.5 17 7l99.7 99.7c9.3 9.4 9.3 24.6 0 34zM344 208c0-75.2-60.8-136-136-136S72 132.8 72 208s60.8 136 136 136 136-60.8 136-136z\"><\/path><\/svg><\/div>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d522af9 elementor-widget elementor-widget-text-editor\" data-id=\"d522af9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: center;\">Technique Chirurgicale<\/h2>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-fded2bf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fded2bf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-853b8bc\" data-id=\"853b8bc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6147fc1 elementor-widget elementor-widget-image\" data-id=\"6147fc1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"552\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/tournevis-de-fritzemeier-permettant-de-syntheser-les-fragments-osseux-par-une-mini-incision.jpg\" class=\"attachment-large size-large wp-image-2936\" alt=\"tournevis de Fritzemeier permettant de synth\u00e9ser les fragments osseux par une mini-incision\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/tournevis-de-fritzemeier-permettant-de-syntheser-les-fragments-osseux-par-une-mini-incision.jpg 800w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/tournevis-de-fritzemeier-permettant-de-syntheser-les-fragments-osseux-par-une-mini-incision-300x207.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/tournevis-de-fritzemeier-permettant-de-syntheser-les-fragments-osseux-par-une-mini-incision-768x530.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9576ff4\" data-id=\"9576ff4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f061e7 elementor-widget elementor-widget-text-editor\" data-id=\"6f061e7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>La technique chirurgicale a \u00e9t\u00e9 d\u00e9crite d\u00e9crite par Perthes Schliessmann en 1932. Il s\u2019agit de l\u2019ost\u00e9otomie mandibulaire Haute, ou courte, ou sus-spigienne. La plus grande difficult\u00e9 est technique, puisque l\u2019ost\u00e9osynth\u00e8se est tr\u00e8s haute. Le tournevis contre-angle de Fritzemeier permet de limiter la taille de l\u2019incision. Cet instrument permet de r\u00e9aliser une chirurgie mini-invasive.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-b3837f4 elementor-widget elementor-widget-text-editor\" data-id=\"b3837f4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: center;\">Avantages de la technique<\/h2>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a53746 elementor-widget elementor-widget-text-editor\" data-id=\"0a53746\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Il s\u2019agit d\u2019une technique\u00a0mini-invasive, avec une plus petite incision, et donc des suites moins lourdes (moins de gonflements, moins de troubles sensitifs\u2026).<\/p><p>Par ailleurs, il y a\u00a0moins de d\u00e9calage osseux:<\/p><ol><li>Au niveau du bord inf\u00e9rieur, il n\u2019y a pas de d\u00e9calage palpable juste sous la peau, contrairement \u00e0 l\u2019autre technique.<\/li><li>Les angles mandibulaires peuvent \u00eatre abaiss\u00e9s, il est donc possible de corriger une asym\u00e9trie de hauteur. Ce n\u2019est pas possible avec la technique classique (voir ci-dessous).<\/li><li>Les angles mandibulaires sont moins d\u00e9plac\u00e9s dans la largeur, il y a donc moins d\u2019\u00e9largissement des angles, et moins de r\u00e9percussions sur les ATM.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c2810ea elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c2810ea\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8de162e\" data-id=\"8de162e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fc0586f elementor-widget elementor-widget-image\" data-id=\"fc0586f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"450\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteoperthes-scholsmannangle.jpg\" class=\"attachment-large size-large wp-image-2942\" alt=\"osteoPerthes-ScholsmannAngle\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteoperthes-scholsmannangle.jpg 600w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteoperthes-scholsmannangle-300x225.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-97e043b\" data-id=\"97e043b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-137ebbb elementor-widget elementor-widget-text-editor\" data-id=\"137ebbb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Comparaison du positionnement des angles dans les deux techniques, dans le sens\u00a0vertical.<br \/>Sur le sch\u00e9mas de gauche, avec la technique classique, les angles ne peuvent pas \u00eatre abaiss\u00e9s.<br \/>Sur le Sch\u00e9mas de droite, avec la technique haute, l\u2019angle peut \u00eatre abaiss\u00e9 d\u2019un c\u00f4t\u00e9, et remont\u00e9 de l\u2019autre.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-85804cf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"85804cf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9be80b6\" data-id=\"9be80b6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-29ff3a9 elementor-widget elementor-widget-text-editor\" data-id=\"29ff3a9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Comparaison des effets sur les angles dans les deux techniques, dans le sens\u00a0transversal.<br \/>Sur le sch\u00e9mas de gauche, avec la technique classique, les angles son \u00e9cart\u00e9s.<br \/>Sur le Sch\u00e9mas de droite, avec la technique haute, les articulations sont moins modifi\u00e9es.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d1d0241\" data-id=\"d1d0241\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fe96515 elementor-widget elementor-widget-image\" data-id=\"fe96515\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"697\" height=\"448\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2021\/01\/OSBH-ATM.jpg\" class=\"attachment-large size-large wp-image-3983\" alt=\"\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2021\/01\/OSBH-ATM.jpg 697w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2021\/01\/OSBH-ATM-300x193.jpg 300w\" sizes=\"(max-width: 697px) 100vw, 697px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0cbc206 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0cbc206\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-afe4545\" data-id=\"afe4545\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5df1a3f elementor-widget-divider--view-line_text elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"5df1a3f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<span class=\"elementor-divider__text elementor-divider__element\">\n\t\t\t\tPour aller plus loin\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-77f6cb2 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"77f6cb2\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-e4af08b\" data-id=\"e4af08b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6cfca7f elementor-widget elementor-widget-text-editor\" data-id=\"6cfca7f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/informations-patients\/osteotomie\">Qu&rsquo;est-ce qu&rsquo;une ost\u00e9otomie de la machoire?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568271866\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Une ost\u00e9otomie de la m\u00e2choire a pour objectif d\u2019en modifier sa position, afin d\u2019am\u00e9liorer la fonction \u00a0et le profil. Il existe plusieurs types d\u2019ost\u00e9otomies<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-064cff1 elementor-widget elementor-widget-image\" data-id=\"064cff1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/obwegeser-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-2925\" alt=\"obwegeser\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-d3c1e57\" data-id=\"d3c1e57\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0c00b7b elementor-widget elementor-widget-text-editor\" data-id=\"0c00b7b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/informations-patients\/quest-ce-que-losteotomie-courte-de-la-mandibule\">Qu&rsquo;est-ce que l&rsquo;ost\u00e9otomie haute de la mandibule?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568286981\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Il existe 3 types d\u2019ost\u00e9otomies de la mandibule. La technique de l\u2019ost\u00e9otomie Haute pr\u00e9sente l\u2019avantage de se situer au dessus du nerf<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ad9eca elementor-widget elementor-widget-image\" data-id=\"8ad9eca\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/osteotomie-haute-ou-courte-150x150.gif\" class=\"attachment-thumbnail size-thumbnail wp-image-2944\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-d61126a\" data-id=\"d61126a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ee66b96 elementor-widget elementor-widget-text-editor\" data-id=\"ee66b96\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading vc_custom_1479568444935\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/apres-une-osteotomie\">Quelles sont les suites apr\u00e8s une ost\u00e9otomie?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568302925\"><div class=\"wpb_wrapper\"><p class=\"p1\" style=\"text-align: center;\">Les suites op\u00e9ratoires ne sont pas les m\u00eame en fonction de s\u2019il s\u2019agit d\u2019une chirurgie de\u00a0la m\u00e2choire du haut (maxillaire), ou de celle du bas (mandibule), ou du\u00a0menton<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a3cc60 elementor-widget elementor-widget-image\" data-id=\"3a3cc60\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"512\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/chirurgie-maxillo-faciale-a-nantes-1024x512.jpg\" class=\"attachment-large size-large wp-image-2781\" alt=\"Chirurgie Maxillo faciale \u00e0 Nantes\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/chirurgie-maxillo-faciale-a-nantes-1024x512.jpg 1024w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/chirurgie-maxillo-faciale-a-nantes-300x150.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/chirurgie-maxillo-faciale-a-nantes-768x384.jpg 768w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/chirurgie-maxillo-faciale-a-nantes-1536x768.jpg 1536w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/chirurgie-maxillo-faciale-a-nantes.jpg 2000w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-234405e\" data-id=\"234405e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9d2d4d0 elementor-widget elementor-widget-text-editor\" data-id=\"9d2d4d0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/comment-placer-les-elastiques\">Comment placer les \u00e9lastiques?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568144985\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Les premiers jours, les \u00e9lastiques sont laiss\u00e9s en place, et l\u2019alimentation est liquide<br \/>D\u00e8s le deuxi\u00e8me jour, il faudra apprendre \u00e0 retirer les \u00e9lastiques<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43db91f elementor-widget elementor-widget-image\" data-id=\"43db91f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"174\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/elastique3.jpg\" class=\"attachment-large size-large wp-image-2962\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e8c2bb8 elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e8c2bb8\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-675dd49\" data-id=\"675dd49\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-162e913 elementor-widget elementor-widget-text-editor\" data-id=\"162e913\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/la-disjonction-maxillaire-ou-mandibulaire\">Qu&rsquo;est-ce qu&rsquo;une disjonction mandibulaire ou maxillaire?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568382991\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Quand la croissance est termin\u00e9e, il est n\u00e9cessaire d\u2019associer un traitement \u00e0 l\u2019aide d\u2019un disjoncteur avec un acte chirurgical<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b20b338 elementor-widget elementor-widget-image\" data-id=\"b20b338\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/DisjoncMax-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-3722\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-15c3836\" data-id=\"15c3836\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b0caf1 elementor-widget elementor-widget-text-editor\" data-id=\"2b0caf1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/la-chirurgie-du-menton-genioplastie\">Qu&rsquo;est-ce qu&rsquo;une ost\u00e9otomie du menton?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568255396\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\"><span class=\"style\" data-mce-mark=\"1\">L\u2019 ost\u00e9otomie du menton (appel\u00e9e \u00ab mentoplastie ou g\u00e9nioplastie\u00a0\u00bb) a pour objectif de rep<\/span><span class=\"style\" data-mce-mark=\"1\">ositionner le menton<\/span><\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5dcb1cc elementor-widget elementor-widget-image\" data-id=\"5dcb1cc\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"122\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/menton-150x122.jpeg\" class=\"attachment-thumbnail size-thumbnail wp-image-2948\" alt=\"menton\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-6fa7223\" data-id=\"6fa7223\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7fccb09 elementor-widget elementor-widget-text-editor\" data-id=\"7fccb09\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/modifications-du-visage-apres-une-chirurgie-de-la-machoire\">Quelles sont les modifications du visages apr\u00e8s une ost\u00e9otomie?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568321127\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Une ost\u00e9otomie n\u2019est pas consid\u00e9r\u00e9 comme de la chirurgie esth\u00e9tique. Pourtant, il peut y avoir modifications importantes du visage<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c200d1a elementor-widget elementor-widget-image\" data-id=\"c200d1a\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/02\/olympus-digital-camera-150x150.jpg\" class=\"attachment-thumbnail size-thumbnail wp-image-3210\" alt=\"\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/02\/olympus-digital-camera-150x150.jpg 150w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/02\/olympus-digital-camera-300x300.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/02\/olympus-digital-camera.jpg 600w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-14dfafe\" data-id=\"14dfafe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0f46d84 elementor-widget elementor-widget-text-editor\" data-id=\"0f46d84\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h3 class=\"vc_custom_heading\" style=\"text-align: center;\"><a href=\"https:\/\/nantes-maxillo.com\/informations-patients\/conseils-dalimentation\">Quelles sont les conseils d&rsquo;alimentation apr\u00e8s une ost\u00e9otomie?<\/a><\/h3><div class=\"wpb_text_column wpb_content_element  vc_custom_1479568335993\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">Une ost\u00e9otomie n\u2019est pas consid\u00e9r\u00e9 comme de la chirurgie esth\u00e9tique. Pourtant, il peut y avoir modifications importantes du visage<\/p><\/div><\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0d0097 elementor-widget elementor-widget-image\" data-id=\"a0d0097\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2016\/01\/mixe-cremepat-150x150.jpeg\" class=\"attachment-thumbnail size-thumbnail wp-image-3458\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ost\u00e9otomie Haute (ou Courte) Ost\u00e9otomie mini-invasive de la mandibule L\u2019ost\u00e9otomie\u00a0de la mandibule (m\u00e2choire inf\u00e9rieure) est une intervention courante dans la chirurgie des dysmorphoses dentofaciales, y compris pour les dysmorphoses de faible importance. Elle vise \u00e0\u00a0avancer ou reculer la mandibule\u00a0pour l\u2019accorder avec l\u2019arcade antagoniste (elle vise \u00e0 faire grandir ou diminuer la m\u00e2choire inf\u00e9rieure pour l\u2019accorder&hellip;&nbsp;<a href=\"https:\/\/nantes-maxillo.com\/preprod\/osteotomie-haute-mandibule\/\" class=\"\" rel=\"bookmark\">Lire la suite &raquo;<span class=\"screen-reader-text\">Qu\u2019est-ce que l\u2019ost\u00e9otomie haute de la mandibule ?<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":1165,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","footnotes":""},"class_list":["post-2931","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/2931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/comments?post=2931"}],"version-history":[{"count":8,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/2931\/revisions"}],"predecessor-version":[{"id":5208,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/2931\/revisions\/5208"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/media\/1165"}],"wp:attachment":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/media?parent=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}