Atlas of craniomaxillofacial osteosynthesis : microplates, miniplates, and screws / [edited by] Franz Haerle, Maxime Champy, Bill Terry ; with illustrations by Andreas Reinhardt.

Format:

Book

Contributor:

Champy, Maxime.

Terry, Bill C., 1930-2013.

Härle, Franz.

Language:

English

Subjects (All):

Facial bones--Surgery--Atlases.

Facial bones.

Internal fixation in fractures--Atlases.

Internal fixation in fractures.

Maxillofacial Injuries--therapy.

Bone Plates.

Bone Screws.

Facial Bones--surgery.

Fracture Fixation, Internal--instrumentation.

Fracture Fixation, Internal--methods.

Facial bones--Surgery.

Medical Subjects:

Maxillofacial Injuries--therapy.

Bone Plates.

Bone Screws.

Facial Bones--surgery.

Fracture Fixation, Internal--instrumentation.

Fracture Fixation, Internal--methods.

Genre:

Atlases.

Physical Description:

1 online resource (xii, 226 pages) : illustrations

Edition:

Second edition.

Place of Publication:

Stuttgart ; New York : Thieme, [2009]

System Details:

text file

Summary:

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 advances in craniomaxillofacial and oral surgery, including the use of resorbable plates and screws, modern techniques of bone distraction, and the advanced treatment of trauma and congenital deformities. Complete with the relevant anatomy and biomechanics, physiology of bone repair and fracture healing, and the management of possible complications, the Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates, and Screws is a true standard in the field.

Contents:

1 Anatomical Aspects and Biomechanical Considerations for the Body of the Mandible, the Midface, and the Cranium / Maxime Champy, Patrick Blez 1

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 / Christophe Meyer 8

3 Sublingual Hematoma: Pathognomic of Fracture of the Mandible / Ingo N. Springer, Franz Haerle 10

4 Bone Repair and Fracture Healing / Franz Haerle 12

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 / Franz Haerle 19

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 / Leen M. de Zeeuw, Oliver Scheunemann 32

Introduction 32

Materials 32

Osteosynthesis Technique and Equipment 32

Screws 33

Plates 33

Locking Systems 34

7 Mandibular Fractures Including Atrophied Mandible / Hans-Dieter Pape, Klaus Louis Gerlach, Maxime Champy 35

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 Mandible 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 / Hendrik Terheyden 44

Introduction 44

Immobilization by Wiring 44

Immobilization Using Hooks 44

Miniscrew Hooks 44

Ligatures 44

9 Principles of Application of Lag Screws / Franz Haerle 46

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 / Gregory C. Chotkowski 53

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? / Franz Haerle, Uwe Eckelt, Klaus Louis Gerlach, Guenter Lauer, Tateyuki lizuka, Andreas Neff, Michael Rasse, Christian Krenkel, Juergen Reuther, Christophe Meyer 58

12 Condylar Neck Fractures: Lag Screws / Uwe Eckelt 60

Introduction 60

Indication 60

Instruments 60

Surgical Technique 62

Removal of Osteosynthesis Material 65

13 Condylar Neck Fracture Miniplates: Extraoral Approach / Tateyuki lizuka, Christian Lindqvist 67

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 / Klaus Louis Gerlach, Steffen Mokros 74

Introduction 74

Surgical Approach 74

Technique 75

Advantages of Technique 77

15 Condylar Neck Fractures: Delta-Shaped Plate and Endoscopic Approach / Guenter Lauer 78

Introduction 78

Surgical Approach 78

Technique 79

16 Condylar Neck Fractures: Lag Screw Plates / Juergen Reuther 85

Introduction 85

Technique 85

17 Osteosynthesis of Condylar Head Fractures by Retroauricular Approach / Andreas Neff 88

The Retroauricular Approach 88

Osteosynthesis of Condylar Head Fractures 88

18 Condylar Head Fractures: Screw and Pin Fixation Michael Rasse 93

Auricular Approach 93

Osteosynthesis 93

19 Midface Fractures / Klaus Louis Gerlach, Hans-Dieter Pape 95

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 / Peter Ward Booth 99

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 / Rudolf R. M. Bos 104

Introduction 104

Diagnosis 104

Treatment Planning 105

Conclusion 108

22 Osteotomies of the Mandible / Paul J. W. Stoelinga 109

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

23 Osteotomies of the Maxilla / Paul J. W. Stoelinga 116

Anterior Maxillary Segmental Osteotomy 116

Introduction 116

Technique 116

Posterior Maxillary Segmental Osteotomy 116

Le Fort I 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 / Konrad Wangerin, Henning Gropp 124

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 / Ulrich Joos 129

Introduction 129

Method 129

Technique 130

26 Craniofacial Surgery / Hermann F. Sailer 131

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 / Klaus Louis Gerlach, Uwe Eckelt 137

Introduction 137

Resorb-X 137

Principles of Osteosynthesis 138

Midface Fractures 139

Condylar Neck Fractures 139

Craniosynostoses 141

28 Drill-free Screws / Klaus Louis Gerlach, Wolfgang Heidemann 142

Introduction 142

Technique 142

29 Reconstructive Preprosthetic Surgery and Implantology / John I. Cawood 144

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 / Franz Haerle, Hendrik Terheyden 160

Introduction 160

Technique 160

31 Alveolar Bone Distraction / Johannes Hidding, Joachin E. Zoeller 162

Introduction 162

Technique 162

Clinical Aspects 164

Complications 164

Conclusion 164

32 Mandible Alveolar Bone Reconstruction by Endodistraction / Christian Krenkel 166

Introduction 166

Materials and Method 166

Indications 168

Discussion 168

Summary 169

33 Mesh Fixation of Bone / Bodo Hoffmeister 170

Introduction 170

Indications 171

Traumatology 171

Orthognathic Surgery 172

Surgical Applications 172

Conclusion 173

34 Mandibular Reconstruction with Free, Nonvascularized Bone Grafts / Hans-Dieter Pape, Klaus Louis Gerlach 174

Introduction 174

Technique 174

35 Intraoral Distraction Osteogenesis of the Mandible and the Maxilla / Konard Wangerin, Henning Gropp, Winfried Kretschmer, Werner Zoder 177

Introduction 177

Mandibular 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 / Friedrich W. Neukam, Rainer Schmelzeisen, Emeka Nkenke 191

Introduction 191

Anatomical Considerations 191

Preoperative Diagnostics for Graft Shaping 192

Technique 192

Graft Fixation 193

37 Microsurgical Anastomosis of the Scapula Bone / Rainer Schmelzeisen, Friederich W. Neukam 196

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? / Hendrik Terheyden, Maxime Champy 202

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 / Klaus Louis Gerlach, Hans-Dieter Pape, Maxime Champy 205

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.

Notes:

Rev. edition of: Atlas of craniomaxillofacial osteosynthesis / Franz Härle, Maxime Champy, Bill C. Terry. 1999.

Made available through: Thieme ElectronicBook Library.

Includes bibliographical references (pages 209-221) and index.

Related Work:

Härle, Franz. Atlas of craniomaxillofacial osteosynthesis.

ISBN:

9783131475718

3-13-147571-4

Access Restriction:

Restricted for use by site license.