New Concepts in Maxillofacial Bone Surgery

A. Transplantation of Autogenous Bone.- 1. Clinical Aspects of Free Autogenous Bone Transplantation.- 1.1. Architecture of the Bone Graft.- 1.1.1. Compact Cortical Bone.- 1.1.2. Cancellous Bone.- 1.2. Behavior of the Bone Graft After Free Transplantation.- 1.3. Practical Application of Bone Transplantation.- 1.3.1. Choise of the Right Bone Transplant.- 1.3.2. Vascularization at the Recipient Site.- 1.3.3. Absolute Immobilization of the Graft.- 1.4. Removal of the Bone Graft.- 1.4.1. Iliac Bone Graft.- 1.4.2. Femoral Bone Graft.- 1.4.3. Rib Graft.- 2. Osteoplastic Treatment of Large Cysts of the Jaw.- 2.1. Introduction.- 2.2. Procedure.- 2.2.1. Transplantation of Cancellous Bone.- 2.2.2. Case Histories.- 2.3. Clinical Results.- 2.4. Discussion.- 2.5. Summary.- 3. Free Composite Rib Transplantation Using Neurovascular Microsurgical Anastomoses.- 3.1. Animal Experiments.- 3.2. Results.- 3.3. Summary.- B. Traumatology and Reconstructive Surgery.- 1. Principles of Rigid Internal Fixation in Fractures of the Lower Jaw.- 1.1. Indication.- 1.2. Principles.- 1.2.1. Accurate Anatomical Reduction.- Occlusal Repositioning.- Basal Repositioning.- 1.2.2. Absolute Stability.- 1.2.3. Tension Band and Stabilization Plate.- 1.3. Plates (DCP and EDCP).- 1.4. Instrument Set.- 2. Rigid Internal Fixation of Compound Mandibular Fractures.- 2.1. Introduction.- 2.2. Case Reports.- 2.3. Conclusion.- 3. Experimental Studies on the Effect of Rigidity Using an Excentric Dynamic Compression Plate (EDCP).- 3.1. Theoretical Considerations.- 3.2. Results.- 3.3. Discussion.- 3.4. Summary.- 4. Internal Fixation of Mandibular Fractures Using an Excentric Dynamic Compression Plate (EDCP).- 4.1. Patient Population.- 4.2. Time of Treatment.- 4.3. Type of Treatment.- 4.4. Results.- 4.5. Summary.- 5. Anatomic Reconstruction in Mandibular Fractures with Loss of Bony Substance. (A Case Report).- 5.1. Introduction.- 5.2. Case Report.- 5.2.1. Treatment of the Fracture.- 5.2.2. Reconstruction of the Missing Bone.- 5.2.3. Restitution of Dentition.- 5.3. Discussion.- 5.4. Summary.- 6. Principles of Treatment in Combined Fractures of the Upper and Lower Jaw.- 6.1. Timing of Surgery.- 6.2. Preoperative Management of the Patient.- 6.2.1. Preparation of the Wound.- 6.2.2. Teeth in the Fracture Line.- 6.2.3. Occlusal Retention.- 6.3. Surgical Procedures.- 6.3.1. Fractures of the Maxilla.- 6.3.2. Fractures of the Mandible.- 7. The Surgical Approach in the Treatment of Facial Fractures.- 7.1. Fracture of the Naso-ethmoidal Region.- 7.2. Fracture at the Site of the Sutura Fronto-zygomatica.- 7.3. Fracture at the Site of the Lower Orbital Rim, Blow-out Fracture, and Fracture of the Malar Complex.- 7.4. Fracture of the Zygomatic Arch.- 7.5. Fractures of the Nose.- 7.6. Intraoral Incisions.- 7.7. Submandibular and Submental Incisions.- C. Orthopaedic Maxillofacial Surgery.- 1. Temporal Bolting Osteoplasty in the Treatment of Excessive Condylar Movement.- 1.1. Introduction.- 1.2. Technique.- 1.3. Postoperative Treatment.- 1.4. Discussion.- 2. Treatment of Ankylosis by a Condylar Prosthesis of the Mandible.- 2.1. Introduction.- 2.2. The Condylar Prosthesis.- 2.3. Technique.- 2.4. Case Report.- 2.5. Summary.- 3. Bone Transplantation for Broadening of the Apical Base (Combined Operative and Conservative Treatment of Pronounced Maxillary Protrusion).- 3.1. Introduction.- 3.2. Procedure.- 3.2.1. The Transplantation of an Autogenous Rib Graft to Broaden the Apical Base.- 3.2.2. The Transplantation of an Autogenous Cancellous Bone from the Iliac Crest to Broaden the Apical Base.- 3.3. Case History.- 3.4. Results.- 3.4.1. Radiographic Results.- 3.4.2. Clinical Results.- 3.5. Discussion.- 4. Preoperative Planning of Sagittal Split Osteotomy of the Ascending Mandibular Ramus (Simulography).- 4.1. Introduction.- 4.2. Previous Methods of Simulation.- 4.3. Theoretical Considerations.- 4.4. Principle of the Present Method.- 4.5. Description of the Simulograph.- 4.6. Summary.- 5. Results of Rigid Internal Fixation and Simulography in Sagittal Split Osteotomy of the Ascending Ramus. A Comparative Clinical Investigation.- 5.1. Introduction.- 5.2. Survey of the Literature.- 5.3. Theoretical Considerations.- 5.4. Material and Method.- 5.4.1. Diagnosis.- 5.4.2. Age and Sex.- 5.4.3. Dentition.- 5.4.4. Orthodontic Treatment.- 5.4.5. Operation.- 5.4.6. Preoperative Planning.- 5.4.7. Prophylaxis with Antibiotics.- 5.4.8. Fixation.- 5.4.9. Division into Groups.- 5.5. Results.- 5.5.1. Objects of the Study.- 5.5.2. Length of Stay in Hospital.- 5.5.3. Duration of Intermaxillary Fixation.- 5.5.4. Resumption of Normal Diet.- 5.5.5. Period of Unfitness for Work.- 5.5.6. Removal of the Arch Bars.- 5.5.7. Follow-up Treatment.- 5.5.8. Rate of Recurrence.- 5.5.9. Disturbances of Sensation.- 5.5.10. Infection.- 5.5.11. Other Complications.- 5.5.12. Subjective Statements.- 5.6. Discussion.- 5.6.1. Indication.- 5.6.2. Preoperative Planning.- 5.6.3. Length of Stay in Hospital.- 5.6.4. Intermaxillary Fixation.- 5.6.5. Resumption of Normal Diet.- 5.6.6. Unfitness for Work.- 5.6.7. Follow-up Treatment.- 5.6.8. Disturbances of Sensation.- 5.6.9. Prophylactic Treatment with Antibiotics.- 5.6.10. Recurrence.- 5.6.11. Advantages of Correct Positioning and Rigid Internal Fixation.- 5.7. Summary.- 6. Rigid Internal Fixation After Sagittal Osteotomy of the Ascending Ramus.- 6.1. Introduction.- 6.2. Technique.- 6.2.1. Osteotomy.- 6.2.2. Rigid Internal Fixation.- 6.3. Discussion.- D. Implantology.- 1. The Dynamic Compression Implant (DCI) as a Basis for Allenthetic Prosthetics. Fundamental Principles of Theory and Practice.- 1.1. Introduction.- 1.2. Principle of Construction and Fixation.- 1.2.1. Static Friction.- 1.2.2. Pretension and Transverse Compression.- 1.3. The Area of Implantation.- 1.4. Induction of Periosteal Bone Formation.- 1.5. Summary of the Principles.- 2. The Dynamic Compression Implant (DCI) - A First Evaluation of 70 Cases.- 2.1. Introduction.- 2.2. Material and Method.- 2.3. Discussion.- 2.4. Summary.- 3. Experimental Studies of the Load-Bearing Properties of Implanted Prostheses.- 3.1. Introduction.- 3.2. Theoretical Principles.- 3.3. Method of Measurement.- 3.4. Results.- 3.5. Discussion.- 3.6. Summary.- 4. Experimental Studies on the Stability of the Dynamic Compression Implant (DCI).- 4.1. Introduction.- 4.2. Theoretical Considerations.- 4.3. Method of Measurement.- 4.4. Results.- 4.5. Summary.- 5. Histologic-Morphometric Investigations into Cadaver Mandibles. The Bony Structure as a Site for an Implant Prosthesis.- 5.1. Introduction.- 5.2. Material and Method.- 5.3. Results.- 5.4. Discussion.- 6. A Total Mandibular Plate to Bridge Large Defects of the Mandible.- 6.1. Introduction.- 6.2. The New Plate.- 7. Anatomic Reconstruction and Functional Rehabilitation of Mandibular Defects after Ablative Surgery.- 7.1. Introduction.- 7.2. Case Report.- 7.3. Discussion.- 7.4. Summary.- E. Postoperative Infections and Prophylaxis.- 1. Treatment of Infected Fractures and Pseudarthrosis of the Mandible.- 1.1. Introduction.- 1.2. Case Report.- 1.3. Discussion.- 2. Preventive Antibiotics in Elective Maxillofacial Surgery.- 2.1. Introduction.- 2.2. Material and Method.- 2.3. Results.- 2.4. Discussion.- 2.5. Conclusion.- References.