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

Leon A. Assael

Springer Science & Business Media, 1998 - Medical - 227 pages

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.

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
• 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: 98
• 416 Lower Face: 102
• 417 Linking the Upper and Lower Face: 103
• 4111 The Double Insult to Soft Tissue: 107
• 42 Le Fort I III Fractures: 108
• 4213 Diagnosis: 112
• 4214 Le Fort I Fractures: 114
• Airway Management: 115
• Exposure: 116
• Occlusion: 118
• Bone Grafting: 121
• Alveolar Ridge: 122
• References and Suggested Reading: 126
• 43 NasoOrbitalEthmoid Fractures: 127
• 434 Plates Used for Internal Fixation of NOE Fractures: 130
• 4372 Transnasal Canthopexy: 132
• 44 Zygomatic Complex Fractures: 133
• 442 Treatment: 134
• 445 Stabilization: 135
• 446 Internal Orbit: 137
• 447 SoftTissue Closure: 138
• 45 Orbital Fractures: 139
• 452 Diagnosis: 142
• 454 Reconstruction of Ethmoid Defects: 143
• 455 Zygomatic Lateral and Inferior Wall Injuries: 144
• 456 NasoOrbitalEthmoid Fractures: 146
• References and Suggested Reading: 147
• 46 Cranial Vault: 148
• 465 Esthetics: 151
• 467 Exposure: 152
• References and Suggested Reading: 154
• Reconstructive Tumor Surgery in the Mandible: 155
• 53 Description of Procedures: 156
• 532 Stabilization of Curetted Mandibular Defects: 158
• 533 Segmental Resection for Benign Tumors: 159
• 534 Plate Application for Tumors with Extension Through the Anterior Buccal Cortex: 161
• 5341 Plate Application for Anterior Tumor Extension Using the Mandible Fix Bridge Device: 162
• 5342 Fixation With Miniplates: 164
• 5344 ThreeDimensional Computer Modeling: 165
• 536 Reconstruction of Tumor Defects With Vascularized Bone Grafts and Their Fixation With Plates: 168
• 538 Repair of Tumor Defects With Anterior SoftTissue Extension With Microvascular Free Bone Flap and Bridging Plate: 170
• 5310 Joint Repair With Costochondral Grafts: 171
• 5311 Alloplastic Replacement of the Condylar Process: 173
• 5312 Condylar Prosthesis for Lateromandibular Defects Including the Joint: 175
• 5313 Management of Mandibular Resection Including the Condyle Using Microvascular Bone Flaps and Various Plates for Fixation: 177
• Osseous Free Flap and Bridging Plate: 179
• Condylar Transplant and Vascularized Bone Flap Reconstruction: 181
• 551 Plate Failure: 182
• 555 Bone Failure: 183
• Stable Internal Fixation of Osteotomies of the Facial Skeleton: 185
• 63 Surgical Procedures: 187
• 6312 Other Ramus Osteotomies: 190
• 6313 Genioplasty: 191
• Le Fort I Osteotomy: 192
• 64 Evaluation of Outcomes: 193
• 65 Complications: 197
• 66 Summary: 198
• Craniofacial Deformities: 199
• 72 Incisions for Craniofacial Reconstruction and Patient Positioning: 201
• 74 Planning and Reconstruction: 205
• 76 Posterior Cranial Expansion: 210
• 77 Complete or Subtotal Calvarial Expansion: 211
• 78 Hypertelorism: 214
• 79 Monoblock Osteotomies: 215
• 712 The Treacher Collins Malformation: 217
• 714 Bone Lenghthening by Continuous Distraction: 219
• 7142 Midface Distraction: 222
• Subject Index: 225

Bibliographic information

• Title: Manual of Internal Fixation in the Cranio-Facial Skeleton.: Techniques as recommended by the AO/ASIF-Maxillofacial Group.; AO publishing
• Author: Leon A. Assael
• Editor: Joachim Prein
• Contributor: Arbeitsgemeinschaft für Osteosynthesefragen
• Edition: illustrated
• Publisher: Springer Science & Business Media, 1998
• ISBN: 3540618104, 9783540618102
• Length: 227 pages
• Subjects: Medical / Anatomy; Medical / Dentistry / Oral Surgery; Medical / Orthopedics; Medical / Surgery / Cosmetic & Reconstructive; Medical / Surgery / General; Medical / Surgery / Neurosurgery; Medical / Surgery / Oral & Maxillofacial; Medical / Surgery / Otolaryngology