By Robert M. Hall (auth.), Robert M. Hall (eds.)
The use of the compressed air-driven turbine for the activation of surgical burs and saws as constructed by means of Dr. Robert M. corridor has been a boon for the plastic, max illofacial, and oral healthcare professional. the improvement of air tool surgical procedure coincided with the hole of recent vistas in surgical procedure within the region of craniofacial surgical procedure. Cranio facial osteotomies for orbital (ocular) hypertelorism, for the deformities of cranio stenosis (Cronzon's illness, Apert's syndrome) and subcranial osteotomies at numerous degrees of the facial skeleton have led to dramatic advancements within the kind of the facial substructure in sufferers with gross deformities. in lots of of those maxillofacial deformities the facial skeleton and dento-alveolar procedures has to be complicated, recessed or increased within the lateral measurement. In such situations maloc clusion of the tceth is common; this is often corrected through intermaxillary fixation of the mo bilized bony constructions which additionally reestablishes sufficient relationships among the dento-alveolar strategies of the higher and reduce jaws. This brings us to the topic of surgical orthodontics, a box that's simply commencing to extend; its improvement may still result in nearer collaboration among health practitioner and orthodontist, leading to swift and effective development of malocclusion. The absence of vibration attribute of the air-driven turbine, not like the robotically pushed drill, permits the doctor to hold out soft and distinct surgeries with much less fatigue to himself.
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Extra info for Air Instrument Surgery: Vol. 3: Facial, Oral and Reconstructive Surgery
Obwegeser, H. : Surgical Replacement of Small or Retrodisplaced Maxillae. PIast. and Reconstr. , 43:351-365, April 1969. Pickrell, K. : Reconstructive Plastic Surgery of the Face. Ciba, Clin. Symposia, 19: 71-99, July-August-September 1967. Rankow, R. : An Atlas of Surgery of the Face, Mouth, and Neck. W. B. , Philadelphia-London-Toronto 1968. : Zygomatic and Orbital Fractures. S. Afr. Med. , 41 : 196 - 199, February 1967. Stallard, H. : Reconstruction of the Socket. Int. Ophthal. , 4: 503 - 521, June 1964.
Divide the re ected bone b tween th hole with the 06 bur. drill 5. Pa a wire aero s the graft to r align it. Wire th graft into it new po iti n again t th mandibl . 23 FACIAL SURGERY Section I Total Maxillectomy Extensive bone excision as in total maxillectomy can be performed with the air drill and osteotomy burs. 1. With th air drill and 121 ng teel bur ection the zygoma vertically , extending the inci ion medially and obliquely to the inferior orbital fi sure. Air drill 24 Long bur guard 12 long steel bur Total Maxillectomy 2.
4. Drill a hole transeortieally in the inferior porti n of the di talo teotomized bone \ ith the wire pa bur, and pa th fixation wire through. The wire encircle th inferior portion of the proximal 0 teotomized fragment for fixation. 5. If nece ar, eulpt the prominent mandibular angle with the 7 t I bur. 47 ORAL SURGERY Section II Anterior Maxillary Osteotomy* I. Make a vertical inci ion in the bicu pid area extending from th buccal ulcus inferiorly, through the recent extraction ite of the fir t bicu pid to the cr t of the maxillary ridge.
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