By Maria J. Troulis
Minimally invasive surgical procedure bargains lowered morbidity, shortened health center remains, and speedier restoration. Drs. Maria Troulis and Leonard Kaban are leaders in constructing minimally invasive reconstructive surgical procedure and sialendoscopy via their paintings within the division of Oral and Maxillofacial surgical procedure on the Massachusetts common clinic. The MGH software has produced first-class results and minimum morbidity observed via a excessive point of sufferer satisfaction.
This quantity includes contributions from a multidisciplinary workforce of professional clinicians, together with not just oral and maxillofacial surgeons, but in addition otolaryngologists, plastic surgeons, and orthodontists. the themes coated comprise minimally invasive reconstruction and orthognathic surgical procedure of the ramus/condyle unit, administration of maxillosfacial trauma, minimally invasive administration of the maxillary sinus, sialoendoscopy, distraction osteogenesis, and minimally invasive administration of tumors and jaw cysts.
Presents a multidisciplinary method of new thoughts in minimally invasive oral and maxillofacial surgery.
Published papers describing the distraction version, biology of therapeutic of the mandibular distraction wound, biomedical energy of the distraction wound, results reports utilizing those recommendations at the ramus condyle devices, results stories of distraction, and results of sialendoscopy are defined within the chapters of this book.
Includes cutting edge recommendations in sialendoscopy, now the traditional of deal with obstructive salivary gland illness
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Extra info for Minimally Invasive Maxillofacial Surgery
These vital structures should be preserved regardless of the soft tissue dissection and exposure technique. FIGURE 1 • Incision lines (yellow) for an endoscopic approach for a left side frontal sinus fracture repair. These are the visualization and working ports. 10 Motor vehicle crashes are the most common etiology followed by sports injuries. Since a high-velocity impact usually causes these fractures, approximately 75% of the patients have associated orbital, nasal, and/or other midfacial fractures.
Using the same technique, we make an intraoral incision in the buccal sulcus of the posterior mandible continued into a subperiosteal dissection of the lateral ramus, posterior border, and angle. Placement of a guarded trocar inserted percutaneously, in the preauricular region perpendicular to the fracture, maintained the optical cavity along with a cheek retraction attachment inserted intraorally. A 4-mm 30-degree endoscope placed though the intraoral incision was rotated toward the fracture to visualize and dissect the proximal segment.
Treatment Modalities Treatment planning for frontal sinus fracture repair depends on which of the frontal sinus walls are involved (anterior and/or posterior). If the fracture involves only the anterior wall, without the nasofrontal duct region, the treatment is an anatomic reduction and stabilization of the fracture with titanium microplates or resorbable plates. 10 In isolated anterior wall fractures removal of the sinus mucosa and sinus obliteration are not necessary. The aim in isolated anterior wall fractures is to restore normal forehead contour for aesthetic reasons.