Atlas of Craniomaxillofacial Osteosynthesis

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1 Atlas of Craniomaxillofacial Osteosynthesis Microplates, Miniplates,and Screws Bearbeitet von Franz Härle, Maxime Champy, Bill Terry 2nd edition Buch. ca. 240 S. Hardcover ISBN Format (B x L): 19,5 x 27 cm Weitere Fachgebiete > Medizin > Chirurgie > Mund-, Kiefer- & Gesichtschirurgie Zu Leseprobe schnell und portofrei erhältlich bei Die Online-Fachbuchhandlung beck-shop.de ist spezialisiert auf Fachbücher, insbesondere Recht, Steuern und Wirtschaft. Im Sortiment finden Sie alle Medien (Bücher, Zeitschriften, CDs, ebooks, etc.) aller Verlage. Ergänzt wird das Programm durch Services wie Neuerscheinungsdienst oder Zusammenstellungen von Büchern zu Sonderpreisen. Der Shop führt mehr als 8 Millionen Produkte.

2 X Table of Contents 1 Anatomical Aspects and Biomechanical Considerations for the Body of the Mandible, themidface,andthecranium... 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) Biomechanics of Fractures of the Condylar Region and Principles of Repair... 8 Christophe Meyer 3 Sublingual Hematoma: Pathognomic of Fracture of the Mandible Ingo N. Springer and 4 Bone Repair and Fracture Healing Structure of Facial Bone Fracture Healing Indirect Bone Healing (Secondary Osseous and Soft-Tissue Healing) Direct Bone Healing (Primary Osseous Healing) Pseudoarthrosis Craniomaxillofacial Bone Healing Surgical Approaches Biomechanical Principles Extraoral Incision Intraoral Incisions Mandible Mandible Intraoral Vestibular Approach Mandible Intraoral Marginal Rim Incision Mandible Combined Intraoral Transbuccal Approach Mandible Extraoral Submandibular Approach. 25 Mid and Upper Face Maxilla Intraoral Vestibular and Marginal Rim Approach Lower Eyelid Approach Upper Lid Blepharoplasty Approach Brow Approach Coronal Approach Materials and Instrumentation Leen M. de Zeeuw and Oliver Scheunemann Introduction Materials Osteosynthesis Technique and Equipment Screws Plates Locking Systems Mandibular Fractures Including Atrophied Mandible Hans-Dieter Pape, Klaus Louis Gerlach, and Maxime Champy Introduction Technique Time of Treatment Anesthesia Re-establishment of Occlusion Gingiva Incision Miniplate Choice Miniplate Osteosynthesis Different Areas Require Special Measures The Interforaminal Area TheCanineandPremolarArea TheMolarAreaandtheAngleoftheMandible 38 The Ramus Multiple Fractures Medicinal Therapy Postoperative Care Special Fracture Situations Mandible Fractures in Children The Edentulous Atrophied Mandible DefectandComminutedFractures TeethintheFractureLine... 42

3 Table of Contents XI 8 Hooks for Intermaxillary Immobilization Hendrik Terheyden Introduction Immobilization by Wiring Immobilization Using Hooks Miniscrew Hooks Ligatures Principles of Application of Lag Screws Introduction Toulouse Mini Lag Screw Cortical Lag Screw True Lag Screw Position Screw Indications for Lag Screw Osteosynthesis Conclusion Guided Lag Screw Technique in Mandibular Fractures Gregory C. Chotkowski Introduction The Surgical Technique Stabilization of the Occlusion Surgical Approach Reduction General Fixation Technique Specific Applications of the Guided Lag Screw Fixation Technique Complications Condylar Base and Neck Fractures: What is to be Done? , 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 Uwe Eckelt Introduction Indication Instruments Surgical Technique Removal of Osteosynthesis Material Condylar Neck Fracture Miniplates: Extraoral Approach Tateyuki Iizuka and Christian Lindqvist Introduction Indication Surgical Approaches Surgical Technique The Preauricular Approach The Retromandibular Approach Rhytidectomy, Face-lift Approach Osteosynthesis Technique Complications Condylar Neck Fracture Miniplates: Intraoral Approach Klaus Louis Gerlach and Steffen Mokros Introduction Surgical Approach Technique Advantages of Technique Condylar Neck Fractures: Delta-Shaped Plate and Endoscopic Approach Guenter Lauer Introduction Surgical Approach Technique Condylar Neck Fractures: Lag Screw Plates Juergen Reuther Introduction Technique Osteosynthesis of Condylar Head Fractures by Retroauricular Approach Andreas Neff The Retroauricular Approach Osteosynthesis of Condylar Head Fractures Condylar Head Fractures: Screw and Pin Fixation 93 Michael Rasse Auricular Approach Osteosynthesis Midface Fractures Klaus Louis Gerlach and Hans-Dieter Pape Introduction Technique Fractures of the Zygoma Le Fort I Fractures Le Fort II Fractures Le Fort III Fractures Naso-ethmoid Fractures Peter Ward Booth Introduction Anatomical Considerations Clinical Examination Radiological Examination Treatment Surgical Exposure Reduction and Stabilization Bone Grafting Detached Canthus

4 XII Table of Contents 21 Panfacial Fractures: Planning an Organized Treatment Rudolf R. M. Bos Introduction Diagnosis Treatment Planning Conclusion Osteotomies of the Mandible Paul J. W. Stoelinga Sagittal Split Osteotomy Introduction Technique Vertical Ramus Osteotomy Introduction Technique Body (Step) Osteotomies Introduction Technique Anterior Subapical Segmental Osteotomy Introduction Technique Genioplasties and Midline Symphyseal Osteotomies Introduction Technique Osteotomies of the Maxilla Paul J. W. Stoelinga Anterior Maxillary Segmental Osteotomy Introduction Technique Posterior Maxillary Segmental Osteotomy Introduction Technique Le Fort I Osteotomy Introduction Technique Quadrangular Osteotomy Introduction Technique Le Fort II Osteotomy Introduction Technique Le Fort III Osteotomy Introduction Technique Osteotomies in Cleft Lip and Palate Patients Introduction Technique Orthognathic Surgery Distance Screws Konrad Wangerin and Henning Gropp Introduction Technique Clinical Diagnosis Radiographic Diagnosis Model Diagnosis Planning Simulation Surgery Skeletal Stability TheAdjustableMiniplatefor Sagittal Split Ramus Osteotomy Ulrich Joos Introduction Method Technique Craniofacial Surgery Hermann F. Sailer Hypertelorism Correction of Craniosynostosis Occipital Corrections High Midface Osteotomies Segmented Frontofacial Advancement Including Le Fort III Plus Le Fort I Osteotomy in Two Parts Application of Resorbable Plates, Screws and Pins for the Treatment of Midface and Condylar Neck Fractures, and Correction of Craniosynostoses Klaus Louis Gerlach and Uwe Eckelt Introduction Resorb-X Principles of Osteosynthesis Midface Fractures Condylar Neck Fractures Craniosynostoses Drill-free Screws Klaus Louis Gerlach and Wolfgang Heidemann Introduction Technique Reconstructive Preprosthetic Surgery and Implantology John I. Cawood Introduction Anatomical Consequences of Jaw Atrophy Interarch Changes Muscle Changes Mucosal Changes Facial Changes Pre-implant Surgery Atrophic Maxilla Class IV Maxilla Anterior Maxillary Osteoplasty to Broaden the Narrow Maxillary Ridge Class V Maxilla

5 Table of Contents XIII Class VI Maxilla Atrophic Mandible Class II and Class III Mandible Class IV Mandible Class V Mandible Class VI Mandible Oral Rehabilitation Bone Graft and Membrane Stabilization in Implantology and Hendrik Terheyden Introduction Technique Alveolar Bone Distraction Johannes Hidding and Joachim E. Zoeller Introduction Technique Clinical Aspects Complications Conclusion Mandible Alveolar Bone Reconstruction by Endodistraction Christian Krenkel Introduction Materials and Method Indications Discussion Summary Mesh Fixation of Bone Bodo Hoffmeister Introduction Indications Traumatology Orthognathic Surgery Surgical Applications Conclusion Mandibular Reconstruction with Free, Nonvascularized Bone Grafts Hans-Dieter Pape and Klaus Louis Gerlach Introduction Technique Intraoral Distraction Osteogenesis of the Mandible and the Maxilla Konrad Wangerin, Henning Gropp, Winfried Kretschmer, and Werner Zoder Introduction MandibularDistractioninCongenital Malformation or Acquired Deficiency Body Deficiency Ramus Deficiency Combinations Distraction in Orthognathic Surgery Mandibular Retrognathia Maxillary Retrognathia Transversal Mandibular Deficiency Transversal Maxillary Deficiency Combinations Conclusion Microsurgical Anastomosis of the Fibula Bone Friedrich W. Neukam, Rainer Schmelzeisen, and Emeka Nkenke Introduction Anatomical Considerations Preoperative Diagnostics for Graft Shaping Technique Graft Fixation Microsurgical Anastomosis of the Scapula Bone. 196 Rainer Schmelzeisen and Friedrich W. Neukam Introduction Anatomical Considerations Harvesting Indications Mandibular Reconstruction Reconstruction of the Maxilla and Midface Conclusion Titanium Plate Removal: Yes or No? Hendrik Terheyden and Maxime Champy Introduction Corrosion and Metal Release from Titanium Plates Toxicity and Accumulation in the Body Inflammatory Response Sensitivity to Titanium Carcinogenity Infection Diagnostic and Therapeutic Radiation Scattering 204 Stress Shielding Conclusion and Ethical Considerations Complications: Causes and Management Klaus Louis Gerlach, Hans-Dieter Pape, and Maxime Champy Introduction Suture Dehiscences Infection Osteomyelitis Delayed Union (Pseudarthrosis, Fibrous Union). 206 Malocclusion Damage to Dental Roots Damage to the Inferior Alveolar Nerve Angle Fractures: One or Two Plates? References Index

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