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 different atlas offering particular techniques for cultured craniofacial surgical procedure in a entire and simply comprehensible kind. With over one hundred ninety nice line drawings especially created for this quantity, this publication could have multifaceted functions; as an operation guide for the classy craniofacial doctor, a reference resource for the final plastic healthcare professional, and as an introductory textual content for citizens in craniofacial, reconstructive, oral, head and neck surgical procedure. It contains with reference to a hundred osteotomy tools and significant info on sufferer choice, preoperative strategies, issues and implants.
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Extra info for Aesthetic Surgery of the Craniofacial Skeleton: An Atlas
Method An upper buccal sulcus incision is utilized and the subperiosteal dissection exposes the maxilla. With a reciprocating saw, the osteotomy is performed horizontally 6 to 8 mm above the dental apices (Fig. 6-29). Method An upper buccal sulcus incision is made and the periosteum is elevated from both nasal floors. A fine curved saw is used to cut the posterior portion of the medial maxillary wall (Fig. 6-30). Chapter 6 Osteotomy Methods Figure 6-28 Figure 6-29 Figure 6-30 47 48 Aesthetic Surgery of the Craniofacial Skeleton Method The exposure and the horizontal osteotomy proceed in the standard fashion.
Care must be taken to prevent injuring the mental nerve. By placing the reciprocating saw vertically before the mental foramen, an osteotomy is made around the chin. While the osteotomy is being performed, the left index finger of the surgeon is placed on the inframandibular rim to palpate the saw tip (Fig. 6-38). Chapter 6 Osteotomy Methods Figure 6-37 Figure 6-38 53 54 Aesthetic Surgery of the Craniofacial Skeleton Frontal Head Preoperative Evaluation On lateral view, the patient shows a retruded upper forehead.
With a malleable retractor, the orbital contents are protected. Using a reciprocating saw with a narrow blade, the osteotomy is directed to the inferior orbital fissure and made at the medial orbital wall. With a malleable Gigli saw guard, the Gigli saw is introduced around the zygomatic arch and the osteotomy is made at the desired position (Fig. 6-14). Method Exposure is obtained via a coronal incision and subperiosteal dissection is continued to the infraorbital rims. With protection of the orbital contents, a saw-like burr is used to cut the lateral portion of the orbital floor.
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