Stable Internal Fixation in Maxillofacial Bone Surgery

1 General Guidelines for Maxillofacial Internal Fixation.- 1.1 Checklist of General Measures in the Management of Maxillofacial Trauma.- 1.1.1 Initial Management.- 1.1.2 Preparation of the Patient on Admission.- 1.1.3 Postoperative Care.- 1.2 Checklist of General Measures in Orthognathic Maxillofacial Surgery.- 1.2.1 Preoperative Planning and Treatment.- 1.2.2 Preparation of the Patient on Admission.- 1.2.3 Postoperative Care.- 1.3 General Preparations in the Operating Room.- 1.3.1 Recommended Locations of Personnel and Equipment.- 1.3.2 Preparation of Materials.- 1.4 Nomenclature.- 1.4.1 Anatomy of the Skull.- 1.4.2 Anatomy of the Mandible.- 1.4.3 Anatomy of the Dentition.- 1.4.4 Various Drill Bits and Burrs.- 2 Internal Fixation of the Mandible.- 2.1 Indications.- 2.2 Goals.- 2.3 Timing.- 2.4 Diagnosis.- 2.5 Preparation of the Patient on Admission.- 2.6 Preoperative Preparation of the Patient.- 2.7 Instruments and Equipment to be Prepared.- 2.8 Table Setups for Internal Fixation of the Mandible.- 2.8.1 Instruments for Splinting.- 2.8.2 Instruments for Internal Fixation of the Mandible (1st Table).- 2.8.3 Instruments for Internal Fixation of the Mandible (2nd Table).- 2.8.4 Implants for Mandibular Reconstructions.- 2.9 Examples of the Internal Fixation of Various Mandibular Fractures.- 2.10 Operative Procedure.- 2.11 Postoperative Care.- 3 Surgical Treatment of Midfacial Fractures.- 3.1 Indications.- 3.2 Goals.- 3.3 Timing.- 3.4 Diagnosis.- 3.5 Preparation of the Patient on Admission.- 3.6 Preoperative Preparation of the Patient.- 3.7 Instruments and Equipment to be Prepared.- 3.8 Table Setups for Midfacial Fractures.- 3.8.1 Instruments for Splinting.- 3.8.2 Instruments for Internal Fixation of the Maxilla.- 3.8.3 Instruments for Internal Fixation of the Orbit.- 3.8.4 Cranio Fixateur Externe.- 3.9 Use of the Cranio Fixateur Externe for Various Midfacial Fractures.- 3.10 Operative Procedure.- 3.11 Postoperative Care.- 4 Orthognathic Maxillofacial Surgery.- 4.1 Indications.- 4.2 Principle and Goals.- 4.3 Workup Materials that are Taken into Surgery.- 4.4 Preparation of the Patient on the Day Before Surgery.- 4.5 Preoperative Preparation of the Patient.- 4.6 Instruments and Equipment to be Prepared 40.- 4.7 Table Setups for Orthognathic Maxillofacial Surgery.- 4.7.1 Instruments for Splinting.- 4.7.2 Instruments for Orthognathic Maxillofacial Surgery (1st Table).- 4.7.3 Instruments for Orthognathic Maxillofacial Surgery (2nd Table).- 4.7.4 Instruments for Internal Fixation of the Orbit.- 4.7.5 Instruments for Internal Fixation of the Maxilla.- 4.7.6 Cranio Fixateur Externe.- 4.8 Examples of Various Osteotomies.- 4.8.1 Correction Within the Dental Arch.- 4.8.2 Correction Outside the Dental Arch.- 4.9 Operative Procedure.- 4.9.1 Further Procedure for a Segmental Osteotomy.- 4.9.2 Further Procedure for Sagittal Splitting.- 4.9.3 Further Procedure for a Le Fort I Osteotomy.- 4.10 Postoperative Care.- 5 AO/ASIF Instruments for Maxillofacial Bone Surgery.- 5.1 Instruments for 2.7-mm dia. Screws.- 5.2 Instruments for 2.0-mm dia. Screws.- 5.3 General Instruments.- 5.4 Supplementary Instruments.- 5.5 Cranio Fixateur Externe.- 5.5.1 Basic Equipment.- 5.5.2 Additional Devices.- 6 AO/ASIF Implant Set for Maxillofacial Bone Surgery.- 6.1 Screws.- 6.2 Plates.- 7 AO/ASIF Compressed Air Machines.- 7.1 Small Air Drill.- 7.2 Mini Compressed Air Machine and Attachments.- References.