BookHisham Marwan, Yoh Sawatari, Michael Peleg.
Summary: This excellently illustrated book provides a thorough overview of the management of orbito-zygomaticomaxillary fractures, which can be complex since both function and facial form may be affected. Practical guidance is offered on all aspects, including clinical examination, CT assessment, surgical planning, surgical access and techniques, soft tissue management, intra- and postoperative assessment, and management of complications. In addition, important technological advancements in planning and treatment are described, including the use of navigation systems and 3D printing. Finally, the authors discuss strategies involving delayed surgical intervention and revision surgery for the malpositioned zygomatic maxillary complex. Management of Orbito-zygomaticomaxillary Fractures will be of value for oral and maxillofacial/craniomaxillofacial surgeons at all levels of experience.
Contents:
Intro
Preface
Contents
1: Zygomaticomaxillary Complex Anatomy
2: Preoperative Assessment before Orbital-Zygomaticomaxillary Surgery
2.1 Clinical Examination
2.1.1 Assessment for Function
2.1.2 Assessment for Facial Deformity
2.1.2.1 Orbit and Ocular Structures
2.1.2.2 Malar Area
2.1.2.3 Zygomatic Arch
2.2 Radiographic Examination
2.2.1 Defining the OZM
2.2.2 Displacement (Degree and Direction)
2.2.3 Comminution
2.2.4 Orbit
3: Preoperative Surgical Planning
3.1 Does the Patient Require Surgical Intervention? 3.2 Which Fractures Must Be Addressed?
3.3 Does the Orbit Require Reconstruction?
3.4 Which Access Type Will Be Necessary?
3.5 Surgical Sequence
4: Surgical Access to Orbital-Zygomaticomaxillary Fractures
4.1 Intraoral Approach
4.2 Periorbital Approaches
4.2.1 Approaches to the ZF Suture
4.2.1.1 Lateral Eyebrow
4.2.1.2 Upper Blepharoplasty
4.2.2 Approaches to the Floor/Inferior Orbital Rim
4.2.2.1 Subciliary
4.2.2.2 Midtarsal Approach (Subtarsal)
4.2.2.3 Infraorbital Approach
4.2.2.4 Transconjunctival Approach
4.3 Preauricular Approach 4.4 Coronal Approach
4.5 Gillies Approach
Suggested Readings
5: Fixation Techniques for Stabilizing Orbital-Zygomaticomaxillary Fracture
6: Soft Tissue Management in Orbital-Zygomaticomaxillary Surgery
6.1 Type of Soft Tissue Injuries
6.2 Timing of Repair
6.3 Management of Primary Periorbital Injuries
6.4 Management of Primary Cheek Injuries
6.5 Soft Tissue Management during the Surgical Approach
6.5.1 Coronal Approach
6.5.2 Lower Eyelid Approach
Suggested Reading
7: Intraoperative Evaluation during Orbital-Zygomaticomaxillary Surgery 8: Postoperative Assessment After Orbital-Zygomaticomaxillary Surgery
8.1 Assessment
8.1.1 Linear Measurements
8.1.2 Angle Measurements
8.1.3 Surface Area
8.1.4 Volume
8.1.5 Comparison of Preoperative and Postoperative 3D Reconstruction
9: Complications Associated with Orbital-Zygomaticomaxillary Surgery
9.1 The Failure to Achieve the Desired Outcome
9.2 Iatrogenic Complications: Access-Related Complication
9.3 Fixation Plate Exposure/Sensitivity
9.4 Neurosensory Disturbances
9.5 Alopecia from Coronal Incision
9.6 Eyelid Malposition 10: New Advances in the Planning and Management of Orbital Zygomaticomaxillary Fractures
10.1 In-House 3D Printing
10.2 Intraoperative Computed Tomography
Suggested Reading
11: Management of Post-Traumatic Orbital Zygomaticomaxillary Deformities and Secondary Reconstruction
11.1 Surgical Planning
11.2 Osteotomy and Fixation Technique
Suggested Reading