Includes surgical procedures to solve facial and craniofacial deformities related to dental malocclusion, providing harmony between the maxilla and mandible and the different facial structures, in order to achieve function, esthetics and stability. Examples: correction of facial asymmetries, prognathism, retrognathism, and chin deformity.

• Surgery first is a surgical method that has revolutionized orthognathic surgery in the last decade. The classic procedure involves orthodontics first followed by orthognathic surgery. In the case of Surgery First orthognathic surgery is performed followed by orthodontics. But it is necessary to have some indications such as good dental alignment and minimal transverse compromise of the maxillary arch and mandibular arch. Once these are fulfilled, the treatment requires less time. In our Unit, we have the capacity to perform Surgery First when the above mentioned criteria are met.

• The management of maxillofacial trauma is one of the most common activities of the maxillofacial surgeon. Diagnosis and treatment of fractures of the maxillofacial complex may involve the mandible, maxilla, malar bone, orbit, nasal bones, and skull bones. These fractures can compromise vision, speech, breathing and swallowing. Treatment requires hospitalization in the vast majority of cases. The goal of management is to reduce and stabilize the fractures, restoring normal function and anatomy. Depending on their location and severity, the use of titanium plates and screws is necessary to achieve a prompt recovery.

Cleft lip and palate are congenital anomalies that occupy the first rank of facial malformations. They develop early in intrauterine life, when the maxillary and fronto-nasal processes do not fuse normally. This anomaly can present only in the lip, only in the palate or jointly. Our Unit offers a novel and advanced technique of surgical correction, in a single procedure, as long as certain criteria of age and hematological and immunological development are met.

Craniosynostosis is the premature closure of the sutures of the skull. This condition can compromise brain growth and affect sensory organs such as the eyes, hearing, and smell and alter the shape of the skull and face. In most cases, patients with craniosynostosis suffer from obstructive sleep apnea that can be incompatible with life. Our Unit offers advanced surgical techniques through the use of osteogenic distractors that lengthen bones and soft tissues to improve not only form (aesthetics) but also function, mainly the correction of obstructive sleep apnea.

• Craniofacial anomalies are caused by abnormal growth or development of the head and facial bones. Each of these congenital anomalies is associated with diverse genetic syndromes. According to their complexity, these conditions require a multidisciplinary and integral management that involves the competence of different disciplines such as ours. For this purpose, our unit offers different management protocols.

• • Distraction osteogenesis (DO) is a versatile millenary surgical technique that elongates or lengthens bones by means of an osteotomy and the placement of an osteogenic distractor, exerting stress on the osteotomized bone. This procedure not only lengthens the bone but also the adjacent tissues such as blood vessels, nerves, muscle and connective tissue. Our Unit has been a standard bearer in the management of different pathologies such as craniosynostosis, microsomias, sequelae of maxillofacial trauma, and syndromes associated with obstructive sleep apnea, with important results.