M. Perry — Atlas of Operative Maxillofacial Trauma Surgery

8.930 руб.

Автор: M. Perry
Название книги: Atlas of Operative Maxillofacial Trauma Surgery
Формат: PDF
Жанр: Челюстно-лицевая хирургия
Страницы: 834
Качество: Изначально компьютерное, E-book

The idea behind this book is to produce a fully comprehensive and highly illustrated “how to” technical reference manual, demonstrating surgical procedures in a step by step manner. This book also covers assessment and investigations, but focuses on the surgical and non surgical management of all aspect of maxillofacial trauma.

It will include most, if not all, of the surgical approaches and techniques used, for all injuries. This volume includes emergency procedures and the various techniques in repair of fractures and soft tissue injuries, from the simple to the complex. Each step is illustrated photographically or with line diagrams, with explanatory text.

This will enable surgical trainees and surgeons with limited trauma experience to understand how and why any particular procedure is undertaken.


Craniofacial trauma, in all its forms, is a challenging area of clinical practice, even in the
twenty-fi rst century. This is in part due to the highly visible effects it has on both the function
and aesthetics of the face. Even “minor” injuries can result in signifi cant disability and
unsightly appearances if not precisely repaired. Although many facial injuries occur following
relatively low-energy impacts (and can therefore be treated satisfactorily in many patients), the
goal of consistently returning our patients precisely to their pre — injury form and function still
eludes us— if we critically review our results. This is especially likely when high-energy injuries
have resulted in both comminution of the facial skeleton and signifi cant soft tissue
“Key” areas, or sites, considered of great importance in the repair of facial injuries are now
well recognised and have been reported widely. There have also been major developments in
the fi elds of tissue healing, biomaterials, and surgical technology, all of which have helped
improve outcomes. In many respects, parallels can be drawn with orthopaedic surgery.
Management of facial trauma in a sense can be regarded as “facial orthopaedics.” Both specialities
share the same common core knowledge and apply similar management principles,
notably in fracture healing, principles of fi xation, and an appreciation of the “soft tissue envelope.”
However, one would hope that we can additionally draw on our aesthetic skills, as facial
surgeons, to get the best possible results in our patients.
Some “ Key ” Areas in Repair
Medial canthal position
Posterior medial “bulge” of orbital fl oor
Lateral orbital wall (alignment with greater wing of sphenoid)
Posterior facial height (condyle)
Posterior wall of frontal sinus/dural integrity
Frontal-nasal duct patency
Nasal projection
The zygomatic arch
Wound closure
Soft tissue drape
Anatomical boundaries (e.g., vermillion border, eyebrow)
Lacrimal apparatus
Eyelid margins
The aim of this book is to provide a framework upon which surgeons in training, or those
who manage trauma infrequently, can develop skills in assessment, treatment planning, and
then (hopefully) repair of facial injuries. Many excellent texts already exist and the aim of this
book is to complement these by focussing on the technical aspects. It is of course only a starting
point and certainly not intended as a substitute for structured training and experience.
This is a book of “options.” As with many areas in medicine and surgery, there are “many
ways to skin a cat” and repairing facial injuries is no different. Many injuries can be managed
in more than one way and using more than one method. We have tried to illustrate this. Many
techniques outlined in this book will have modifi cations, or variations. Furthermore, management
of some injuries is still very controversial, as we have tried to point out. Although we
have endeavoured to cover as much ground as possible, we do accept that this book is by no
means totally comprehensive—probably no book ever will be. Nevertheless, we hope this will
form a useful foundation for some.
A few quick notes: The images used in this book have been taken over the past decade or
so, and perhaps not surprisingly their quality has improved accordingly from those taken with
the old-style Polaroid fi lms to the more “state of the art” digital camera. Either way, we hope
the quality is suffi cient. The references have been chosen on the basis of interest rather than
any attempt to be comprehensive. Finally, to get the most out of this book, the reader should
ideally have some basic knowledge of anatomy and an understanding of trauma care and basic
surgical principles.
Michael Perry


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