By Franz Härle, Maxime Champy, Bill Terry, Franz Haerle
Now in an extended awaited moment variation, this groundbreaking atlas of osteosynthesis in craniomaxillofacial and oral surgical procedure has been absolutely up to date to mirror new options, functions, tools, and fabrics. Illustrated in precise, hugely instructive full-color drawings, the ebook covers key advances in craniomaxillofacial and oral surgical procedure, together with using resorbable plates and screws, smooth innovations of bone distraction, and the complex therapy of trauma and congenital deformities. whole with the proper anatomy and biomechanics, body structure of bone fix and fracture therapeutic, and the administration of attainable issues, the Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates, and Screws is a real ordinary within the box. Highlights:
The moment version of this remarkable atlas is extremely urged as a how-to advisor and surgical reference for all practitioners and trainees who care for the demanding situations of craniomaxillofacial and oral surgical procedure, quite maxillofacial, oral, and plastic surgeons, in addition to neurosurgeons and otolaryngologists.
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Extra info for Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates, and Screws
3). Thus it has been possible to reduce the amount of instruments required in the operating room to a reasonable and manageable number, which however is still sufficient for all-in-one osteosynthesis solutions. The KLS Martin “Level One Fixation” modular concept (Fig. 4) has been developed to meet the requirements of osteosynthesis techniques for the craniomaxillofacial skeleton, by incorporating all the above-mentioned plate and screw systems into one integrated hardware. This system functionally addresses the following osteosynthesis indications: · craniomaxillofacial trauma · orthognathic surgery · craniofacial surgery · neurosurgery · reconstructive surgery · skull base surgery · oculoplastic surgery · guided tissue regeneration · implantology · preprosthetic reconstructive surgery 33 Fig.
Removal of teeth along the fracture line is recommended when there is apical or marked periodontal bone loss, or when there is any sign of infection, or when teeth have been badly damaged by caries or trauma. It is also recommended that impacted wisdom teeth be removed from the fracture line, unless they can be utilized for the fixation of smallplate osteosynthesis, or their removal would cause a loss of bone from the fracture margins. In the former circumstances, the wisdom tooth should be removed together with the osteosynthesis material in a second procedure under local anesthetic 3 months after fracture reduction.
An inexperienced surgeon, however, should certainly start with splinting of the upper and lower jaw by the eyelet method of intermaxillary fixation (Ivy, 1922; Obwegeser, 1952; Stout, 1942). Remember that each fractured fragment should be fixed individually to the upper jaw. A splint bridging the fracture makes correct occlusal reduction impossible. 36 7 Mandibular Fractures Including Atrophied Mandible Miniplate Choice The normal four-hole plate with screws of 5–7 mm diameter is preferred in most cases.