Aesthetic Surgery of the Craniofacial Skeleton: An Atlas by Min Li M.D., M.S., M.F.A., A. Michael Sadove M.D., John J.

By Min Li M.D., M.S., M.F.A., A. Michael Sadove M.D., John J. Coleman III M.D. (auth.)

Aesthetic surgical procedure of the Craniofacial Skeleton is a special atlas featuring particular techniques for classy craniofacial surgical procedure in a complete and simply comprehensible type. With over one hundred ninety wonderful line drawings in particular created for this quantity, this ebook could have multifaceted purposes; as an operation handbook for the classy craniofacial healthcare professional, a reference resource for the overall plastic health care provider, and as an introductory textual content for citizens in craniofacial, reconstructive, oral, head and neck surgical procedure. It contains as regards to a hundred osteotomy tools and crucial details on sufferer choice, preoperative techniques, problems and implants.

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Method A lower buccal sulcus incision is used for the exposure with subperiosteal dissection made on the mental surface. The bone reduction is completed by an oval burr with irrigation and a tissue retractor guard. Actually, this guard and burr can be used via a small incision while bone is removed in any area where preservation of the overlying soft tissue is mandatory (Fig. 6-35). Method This osteotomy is made vertically between the teeth by a small rotary saw with only compact bone cut. Care must be taken to prevent injuring the inferior alveolar neurovascular bundle (Fig.

With the malleable retractors the brain and the orbital contents are protected. Using a reciprocating saw the osteotomy anterior to the fossa crania media is performed via the temporal fossa (Fig. 6-8). Method The frontal hairline incision is made in the midline. The subperiosteal dissection is done on the frontal sinus surface. An oval burr with a tissue retractor guard is inserted to perform the bone reduction. The tissue retractor guard will retract and protect the surrounding soft tissue. A common complication resulting from this procedure is the damage of the supraorbital nerve (Fig.

6-10). Method A nasal vestibule incision is made. With an Adson elevator, the nasal mucosa is elevated from the medial maxillary wall. Then a fine curved osteotome is used to cut the medial maxillary wall vertically posterior to the nasolacrimal tube (Fig. 6-11). Method The coronal incision is used to expose the medial orbital wall and the orbital floor. Then, a nasal vestibule incision provides access to the medial maxillary wall. The orbital contents are protected by a malleable retractor. A narrow curved osteotome is used to make the osteotomy behind the nasolacrimal tube, entering the orbit (Fig.

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