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  SPECIFICATION
ATLAS OF CRANIOMAXILLOFACIAL OSTEOSYNTHESIS 2e (hb) 2009
Author: FRANZ HAERLE
ISBN: 9783131164926
Year: 2009
Publisher: THIEME MEDICAL & SCIENTIFIC PUBLISHERS (PVT) LTD.
Category: SURGERY & TRAUMA
Edition: 1
Format: Hard Cover
Language: English
Pages: 226
 ABOUT THE TITLE
Now in a long awaited second edition, this groundbreaking atlas of osteosynthesis in craniomaxillofacial and oral surgery has been fully updated to reflect new techniques, applications, instruments, and materials. Illustrated in detailed, highly instructive full-color drawings, the book covers key a
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 TABLE OF CONTENTS
1 Anatomical Aspects and Biomechanical
Considerations for the Body of the Mandible,
the Midface, and the Cranium 1
Maxime Champy and Patrick Blez
Anatomical Considerations 1
The Mandible 1
The Midface and the Cranial Bones 2
Biomechanical Principles 3
Goals 3
Masticatory Stress Distribution in the Mandible 4
Definition of an Ideal Osteosynthesis Line on the Mandible 5
Other Therapeutic Applications 5
Biomechanics and Principles of Surgical Repair in the Midface and Cranium by Microplates or Miniplates (Traumatology and Deformities) 6
2 Biomechanics of Fractures of the Condylar Region and Principles of Repair 8
Christophe Meyer
3 Sublingual Hematoma: Pathognomic of Fracture of the Mandible 10
Ingo N. Springer and Franz Haerle
4 Bone Repair and Fracture Healing. 12
Franz Haerle
Structure of Facial Bone 12
Fracture Healing 13
Indirect Bone Healing (Secondary Osseous and Soft-Tissue Healing) 13
Direct Bone Healing (Primary Osseous Healing) 14
Pseudoarthrosis 17
Craniomaxillofacial Bone Healing. 18
5 Surgical Approaches 19
Franz Haerle
Biomechanical Principles 19
Extraoral Incision 20
Intraoral Incisions 20
Mandible 23
Mandible Intraoral Vestibular Approach 23
Mandible Intraoral Marginal Rim Incision 24
Mandible Combined Intraoral–Transbuccal Approach. 24
Mandible Extraoral Submandibular Approach. 25
Mid and Upper Face 29
Maxilla Intraoral Vestibular and Marginal Rim Approach 29
Lower Eyelid Approach 29
Upper Lid Blepharoplasty Approach 29
Brow Approach 30
Coronal Approach 30
6 Materials and Instrumentation 32
Leen M. de Zeeuw and Oliver Scheunemann
Introduction 32
Materials 32
Osteosynthesis Technique and Equipment 32
Screws 33
Plates 33
Locking Systems 34
7 Mandibular Fractures Including Atrophied Mandible 35
Hans-Dieter Pape, Klaus Louis Gerlach, and Maxime Champy
Introduction 35
Technique 35
Time of Treatment 35
Anesthesia 35
Re-establishment of Occlusion 35
Gingiva Incision 36
Miniplate Choice 36
Miniplate Osteosynthesis 36
Different Areas Require Special Measures 37
The Interforaminal Area 37
The Canine and Premolar Area 38
The Molar Area and the Angle of the Mandib le 38
The Ramus 40
Multiple Fractures 40
Medicinal Therapy 40
Postoperative Care 40
Special Fracture Situations 40
Mandible Fractures in Children. 40
The Edentulous Atrophied Mandible 41
Defect and Comminuted Fractures. 42
Teeth in the Fracture Line 42
8 Hooks for Intermaxillary Immobilization 44
Hendrik Terheyden
Introduction 44
Immobilization by Wiring 44
Immobilization Using Hooks 44
Miniscrew Hooks 44
Ligatures 44
9 Principles of Application of Lag Screws 46
Franz Haerle
Introduction 46
Toulouse Mini Lag Screw 46
Cortical Lag Screw 46
True Lag Screw 48
Position Screw 50
Indications for Lag Screw Osteosynthesis 50
Conclusion 52
10 Guided Lag Screw Technique in Mandibular Fractures 53
Gregory C. Chotkowski
Introduction 53
The Surgical Technique 54
Stabilization of the Occlusion 54
Surgical Approach 54
Reduction 54
General Fixation Technique 55
Specific Applications of the Guided Lag Screw
Fixation Technique 55
Complications 57
11 Condylar Base and Neck Fractures: What is to be Done? 58
Franz Haerle, Uwe Eckelt, Klaus Louis Gerlach, Guenter Lauer, Tateyuki Iizuka, Andreas Neff,
Michael Rasse, Christian Krenkel, Juergen Reuther, and Christophe Meyer
12 Condylar Neck Fractures: Lag Screws 60
Uwe Eckelt
Introduction 60
Indication 60
Instruments 60
Surgical Technique 62
Removal of Osteosynthesis Material. 65
13 Condylar Neck Fracture Miniplates: Extraoral Approach 67
Tateyuki Iizuka and Christian Lindqvist
Introduction 67
Indication 67
Surgical Approaches 68
Surgical Technique 68
The Preauricular Approach 68
The Retromandibular Approach 69
Rhytidectomy, Face-lift Approach 70
Osteosynthesis Technique 71
Complications 73
14 Condylar Neck Fracture Miniplates: Intraoral Approach 74
Klaus Louis Gerlach and Steffen Mokros
Introduction 74
Surgical Approach 74
Technique 75
Advantages of Technique 77
15 Condylar Neck Fractures: Delta-Shaped Plate and Endoscopic Approach 78
Guenter Lauer
Introduction 78
Surgical Approach 78
Technique 79
16 Condylar Neck Fractures: Lag Screw Plates 85
Juergen Reuther
Introduction 85
Technique 85
17 Osteosynthesis of Condylar Head Fractures by Retroauricular Approach 88
Andreas Neff
The Retroauricular Approach 88
Osteosynthesis of Condylar Head Fractures. 88
18 Condylar Head Fractures: Screw and Pin Fixation 93
Michael Rasse
Auricular Approach 93
Osteosynthesis 93
19 Midface Fractures 95
Klaus Louis Gerlach and Hans-Dieter Pape
Introduction 95
Technique 95
Fractures of the Zygoma 95
Le Fort I Fractures 96
Le Fort II Fractures 97
Le Fort III Fractures 97
20 Naso-ethmoid Fractures 99
Peter Ward Booth
Introduction 99
Anatomical Considerations 99
Clinical Examination 99
Radiological Examination 101
Treatment 101
Surgical Exposure 101
Reduction and Stabilization 101
Bone Grafting 102
Detached Canthus 102
21 Panfacial Fractures: Planning an Organized Treatment 104
Rudolf R.M. Bos
Introduction 104
Diagnosis 104
Treatment Planning 105
Conclusion 108
22 Osteotomies of the Mandible 109
Paul J.W. Stoelinga
Sagittal Split Osteotomy 109
Introduction 109
Technique 109
Vertical Ramus Osteotomy 110
Introduction 110
Technique 111
Body (Step) Osteotomies 112
Introduction 112
Technique 113
Anterior Subapical Segmental Osteotomy. 113
Introduction 113
Technique 114
Genioplasties and Midline Symphyseal Osteotomies 114
Introduction 114
Technique 114
23 Osteotomies of the Maxilla 116
Paul J.W. Stoelinga
Anterior Maxillary Segmental Osteotomy. 116
Introduction 116
Technique 116
Posterior Maxillary Segmental Osteotomy 116
Introduction 116
Technique 116
Le Fort I Osteotomy 117
Introduction 117
Technique 117
Quadrangular Osteotomy 117
Introduction 117
Technique 118
Le Fort II Osteotomy 119
Introduction 119
Technique 119
Le Fort III Osteotomy 120
Introduction 120
Technique 120
Osteotomies in Cleft Lip and Palate Patients. 120
Introduction 121
Technique 121
24 Orthognathic Surgery Distance Screws 124
Konrad Wangerin and Henning Gropp
Introduction 124
Technique 124
Clinical Diagnosis 124
Radiographic Diagnosis 124
Model Diagnosis 124
Planning 124
Simulation 124
Surgery 125
Skeletal Stability 126
25 The Adjustable Miniplate for Sagittal Split Ramus Osteotomy 129
Ulrich Joos
Introduction 129
Method 129
Technique 130
26 Craniofacial Surgery 131
Hermann F. Sailer
Hypertelorism 131
Correction of Craniosynostosis 132
Occipital Corrections 134
High Midface Osteotomies 134
Segmented Frontofacial Advancement
Including Le Fort III Plus Le Fort I Osteotomy in Two Parts 135
27 Application of Resorbable Plates, Screws and Pins for the Treatment of Midface and Condylar
Neck Fractures, and Correction of Craniosynostoses 137
Klaus Louis Gerlach and Uwe Eckelt
Introduction 137
Resorb-X 137
Principles of Osteosynthesis 138
Midface Fractures 139
Condylar Neck Fractures 139
Craniosynostoses 141
28 Drill-free Screws 142
Klaus Louis Gerlach and Wolfgang Heidemann
Introduction 142
Technique 142
29 Reconstructive Preprosthetic Surgery and Implantology 144
John I. Cawood
Introduction 144
Anatomical Consequences of Jaw Atrophy 144
Interarch Changes 144
Muscle Changes 146
Mucosal Changes 146
Facial Changes 146
Pre-implant Surgery 146
Atrophic Maxilla 151
Class IV Maxilla 151
Anterior Maxillary Osteoplasty to Broaden the Narrow Maxillary Ridge 152
Class V Maxilla 156
Class VI Maxilla 156
Atrophic Mandible 158
Class II and Class III Mandible 158
Class IV Mandible 159
Class V Mandible 159
Class VI Mandible 159
Oral Rehabilitation 159
30 Bone Graft and Membrane Stabilization in Implantology 160
Franz Haerle and Hendrik Terheyden
Introduction 160
Technique 160
31 Alveolar Bone Distraction 162
Johannes Hidding and Joachim E. Zoeller
Introduction 162
Technique 162
Clinical Aspects 164
Complications 164
Conclusion 164
32 Mandible Alveolar Bone Reconstruction by Endodistraction 166
Christian Krenkel
Introduction 166
Materials and Method 166
Indications 168
Discussion 168
Summary 169
33 Mesh Fixation of Bone 170
Bodo Hoffmeister
Introduction 170
Indications 171
Traumatology 171
Orthognathic Surgery 172
Surgical Applications 172
Conclusion 173
34 Mandibular Reconstruction with Free, Nonvascularized Bone Grafts 174
Hans-Dieter Pape and Klaus Louis Gerlach
Introduction 174
Technique 174
35 Intraoral Distraction Osteogenesis of the Mandible and the Maxilla 177
Konrad Wangerin, Henning Gropp, Winfried Kretschmer, and Werner Zoder
Introduction 177
Mandib ular Distraction in Congenital Malformation or Acquired Deficiency 177
Body Deficiency 178
Ramus Deficiency 180
Combinations 181
Distraction in Orthognathic Surgery. 181
Mandibular Retrognathia 181
Maxillary Retrognathia 184
Transversal Mandibular Deficiency. 186
Transversal Maxillary Deficiency 188
Combinations 189
Conclusion 189
36 Microsurgical Anastomosis of the Fibula Bone 191
Friedrich W. Neukam, Rainer Schmelzeisen, and Emeka Nkenke
Introduction 191
Anatomical Considerations 191
Preoperative Diagnostics for Graft Shaping. 192
Technique 192
Graft Fixation 193
37 Microsurgical Anastomosis of the Scapula Bone. 196
Rainer Schmelzeisen and Friedrich W. Neukam
Introduction 196
Anatomical Considerations 196
Harvesting 196
Indications 196
Mandibular Reconstruction 197
Reconstruction of the Maxilla and Midface 198
Conclusion 201
38 Titanium Plate Removal: Yes or No? 202
Hendrik Terheyden and Maxime Champy
Introduction 202
Corrosion and Metal Release from Titanium Plates 202
Toxicity and Accumulation in the Body 202
Inflammatory Response 203
Sensitivity to Titanium 203
Carcinogenity 204
Infection 204
Diagnostic and Therapeutic Radiation Scattering 204
Stress Shielding 204
Conclusion and Ethical Considerations. 204
39 Complications: Causes and Management. 205
Klaus Louis Gerlach, Hans-Dieter Pape, and Maxime Champy
Introduction 205
Suture Dehiscences 205
Infection 205
Osteomyelitis 205
Delayed Union (Pseudarthrosis, Fibrous Union). 206
Malocclusion 206
Damage to Dental Roots 206
Damage to the Inferior Alveolar Nerve. 206
Angle Fractures: One or Two Plates? 207
References 209
Index 222
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