Manual of Internal Fixation in the Cranio-Facial Skeleton.: Techniques as recommended by the AO/ASIF-Maxillofacial Group.

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Springer Science & Business Media, 1998 - Medical - 227 pages
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This manual provides comprehensive information on the surgical techniques in internal fixation of fractures, in restoring tumour defects, and osteotomies in the craniofacial skeleton. Through detailed and instructive drawings together with clinical situations shown on x-rays it offers important guidelines for the surgeon in the operating room. The techniques are based on the general principles developed and continuously refined by the AO/ASIF group. This manual constitutes the written guideline of the surgical techniques as taught in the AO/ASIF courses and workshops throughout the world.
 

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fantastico libro de reduccion de fracturas craneofaciales

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Contents

Scientific and Technical Background
1
112 Research
2
115 Documentation and Clinical Investigations
3
12 Bone as a Material
5
122 Chemical Composition
6
13 Fractures in the CranioMaxilloFacial Skeleton
7
133 The Fracture
8
14 Indications for Operative Treatment of Fractures
12
43 NasoOrbitalEthmoid Fractures
129
434 Plates Used for Internal Fixation of NOE Fractures
132
4372 Transnasal Canthopexy
134
44 Zygomatic Complex Fractures
135
442 Treatment
136
445 Stabilization
137
446 Internal Orbit
139
447 SoftTissue Closure
140

152 Implant Materials
13
1523 Biodegradable Polymeric Materials
14
154 Principles of Stabilization
15
16 Design and Function of Implants and Instruments
19
1613 List of Screws
21
1614 Technique of Screw Insertion
23
1615 Instruments for Screw Insertion
24
162 Plates
28
1622 Mandible and Reconstruction Plates
30
163 Instruments
37
164 Power Tools
42
17 Set Configurations
44
External Fixation Devices
48
Anatomic Approaches
51
Mandibular Fractures
57
34 Adequate Stability
58
36 Failures NonunionPseudarthrosis
59
311 Fractures of the Symphysis and the Parasymphyseal Area
60
3112 Transverse Fracture Line With Dislocation
63
3113 Fracture Line With Basal Triangle
65
3114 Comminuted Fracture
66
3121 Transverse Fracture Line Without Dislocation
67
3123 Oblique Fracture Line WithWithout Dislocation
70
3124 Fracture Line With Basal Triangle
72
313 Fractures of the Mandibular Angle
73
3131 Transverse Fracture Line Without Dislocation
75
3132 Transverse Fracture Line With Dislocation
76
3133 Angular Fractures With Basal Triangle
78
3134 Comminuted Angular Fractures
79
3135 Comminuted Fractures of the Ascending Mandibular Ramus
81
314 Condylar and Subcondylar Fractures
83
315 Fractures of the Atrophic Mandible
87
317 Defect Fractures
88
318 Mandibular Fractures in Children
92
Craniofacial Fractures
95
The Cranial Unit
100
416 Lower Face
104
417 Linking the Upper and Lower Face
105
4111 The Double Insult to Soft Tissue
109
42 Le Fort I III Fractures
110
4213 Diagnosis
114
4214 Le Fort I Fractures
116
Airway Management
117
Exposure
118
Occlusion
120
Bone Grafting
123
Alveolar Ridge
124
References and Suggested Reading
128
45 Orbital Fractures
141
452 Diagnosis
144
454 Reconstruction of Ethmoid Defects
145
455 Zygomatic Lateral and Inferior Wall Injuries
146
456 NasoOrbitalEthmoid Fractures
148
References and Suggested Reading
149
46 Cranial Vault
150
465 Esthetics
153
467 Exposure
154
References and Suggested Reading
156
Reconstructive Tumor Surgery in the Mandible
157
53 Description of Procedures
158
532 Stabilization of Curetted Mandibular Defects
160
533 Segmental Resection for Benign Tumors
161
534 Plate Application for Tumors with Extension Through the Anterior Buccal Cortex
163
5341 Plate Application for Anterior Tumor Extension Using the Mandible Fix Bridge Device
164
5342 Fixation With Miniplates
166
5344 ThreeDimensional Computer Modeling
167
536 Reconstruction of Tumor Defects With Vascularized Bone Grafts and Their Fixation With Plates
170
538 Repair of Tumor Defects With Anterior SoftTissue Extension With Microvascular Free Bone Flap and Bridging Plate
172
5310 Joint Repair With Costochondral Grafts
173
5311 Alloplastic Replacement of the Condylar Process
175
5312 Condylar Prosthesis for Lateromandibular Defects Including the Joint
177
5313 Management of Mandibular Resection Including the Condyle Using Microvascular Bone Flaps and Various Plates for Fixation
179
Osseous Free Flap and Bridging Plate
181
Condylar Transplant and Vascularized Bone Flap Reconstruction
183
551 Plate Failure
184
555 Bone Failure
185
Stable Internal Fixation of Osteotomies of the Facial Skeleton
187
63 Surgical Procedures
189
6312 Other Ramus Osteotomies
192
6313 Genioplasty
193
Le Fort I Osteotomy
194
64 Evaluation of Outcomes
195
65 Complications
199
66 Summary
200
Craniofacial Deformities
201
72 Incisions for Craniofacial Reconstruction and Patient Positioning
203
74 Planning and Reconstruction
207
76 Posterior Cranial Expansion
212
77 Complete or Subtotal Calvarial Expansion
213
78 Hypertelorism
216
79 Monoblock Osteotomies
217
712 The Treacher Collins Malformation
219
714 Bone Lenghthening by Continuous Distraction
221
Subject Index
227
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