OMFS Board Exam Review #5 - Class III Orthognathic Preop Considerations, Bleeding Control

Top 5 Topics:

- Class III Orthognathic Surgery Case Breakdown

- Preoperative Orthodontic Considerations

- Intraoperative Bleeding Control

- Physical Examination Essentials for Boards

- Post-Op Complication Management

*** 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 – Case presentation: 22M with Class III malocclusion, −8 mm overjet, SNA 82°, SNB 88°, and concave facial profile.

00:04 – Skeletal diagnosis and surgical plan: Maxillary advancement + BSSO setback, indications, and millimeter movements.

03:25 – Most critical preoperative step before orthognathic surgery & specific orthodontic prep for Class III correction.

06:02 – Intraoperative management of bleeding from pterygoid venous plexus vs. descending palatine artery.

11:37 – Essential preoperative medical workup: Labs, imaging, consultations, and anesthesia considerations.

15:28 – Physical examination checklist: Craniofacial symmetry, occlusal cant, airway, TMJ, and nerve baseline.

21:31 – Correcting a 3 mm mandibular midline deviation & maxillary cant during Le Fort I + BSSO.

24:52 – Post-operative nasal obstruction and mid-face swelling: Differentiating edema from hematoma.

27:10 – Airway management strategies in the immediate post-op period.

29:45 – Importance of rehearsing oral board-style answers for surgical cases.

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 8.2025

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