By Franz Härle, Maxime Champy, Bill Terry, Franz Haerle
Now in an extended awaited moment version, this groundbreaking atlas of
osteosynthesis in craniomaxillofacial and oral surgical procedure has been totally up to date to
reflect new ideas, purposes, tools, and fabrics. Illustrated in
detailed, hugely instructive full-color drawings, the publication covers key advances
in craniomaxillofacial and oral surgical procedure, together with using resorbable plates
and screws, glossy options of bone distraction, and the complex therapy of
trauma and congenital deformities. entire with the suitable anatomy and
biomechanics, body structure of bone fix and fracture therapeutic, and the administration
of attainable issues, the Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates, and Screws is a real usual within the box.
- Includes six completely new chapters on lingual
hematoma, cutting edge therapy ways of condylar neck fractures, the
software of resorbable plates and screws and the material-specific
recommendations, and alveolar, mandibular, and maxillary bone distraction
- Features thorough updates on orthognathic,
craniofacial, and preprosthetic surgical procedure
- Offers confirmed remedy ways through foreign
specialists who've utilized the foundations of osteosynthesis in quite a lot of
- Presents greater than 350 amazing full-color
drawings, 70 of them new to this version, visualizing the appropriate anatomy and
The moment variation of this remarkable atlas is very instructed as
a how-to advisor and surgical reference for all practitioners and trainees who
deal with the demanding situations of craniomaxillofacial and oral surgical procedure, really maxillofacial, oral, and plastic surgeons, in addition to neurosurgeons and otolaryngologists.
Read Online or Download Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates,and Screws PDF
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Additional info for Atlas of Craniomaxillofacial Osteosynthesis: Microplates, Miniplates,and Screws
Gap healing takes place in stable or “quiet” gaps with a width greater than the 200-µm osteonal diameter. Ingrowth of vessels and mesenchymal cells starts after surgery. Osteoblasts deposit osteoid on the fragment ends without osteoclastic resorption. The gaps are filled exclusively with primarily formed, transversely oriented lamellar bone. Replacement is usually completed within 4 to 6 Fig. 10 Perfect anatomical repositioning of a mandibular fracture by lag screw osteosynthesis. Fracture Healing 17 Fig.
12 Haversian remodeling. Transversely oriented bone lamellae are replaced by axially orientated osteons. weeks (Fig. 11). In the second stage, the transversely oriented bone lamellae are replaced by axially orientated osteons, a process which is referred to as haversian remodeling (Fig. 12). After 10 weeks the fracture is replaced by newly reconstructed cortical bone. Gap healing is seen, for example, on the inner side of the mandible after miniplate osteosynthesis. Gap healing plays an important role in direct bone healing.
After puncturing the soft tissue of the cheek, transbuccal instruments will facilitate the use of the drill and avoid injury to the cheek (Fig. 11). In a fracture at the angle of the mandible, the plate should be located on the proximal fragment medial to the oblique line, so that it is bent over the surface and the proximal screws are placed in a nearly sagittal direction. The two screws in the distal fragment can then be fixed in a more horizontal direction (Figs. 13). In certain cases—with simultaneous fractures of the alveolar process or when an impacted wisdom tooth is present—the plate may be fixed to the outer surface of the mandible, corresponding in position to the course of the tension line (Fig.