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Contents

Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

vii

Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ix

Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

xvii

1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 1

 

Alex M. Greenberg and Joachim Prein

 

Section I Basic Considerations in the Diagnosis of Craniomaxillofacial Bone Defects and Disorders

2

Evaluation of the Craniomaxillofacial Deformity Patient . . . . . . . . . . . . . . . . . . . . . .

5

 

Jackson P. Morgan, III and Richard H. Haug

 

3Craniofacial Deformities: Review of Etiologies, Distribution,

 

and Their Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

22

 

Craig R. Dufresne

 

4

Etiology of Skeletal Malocclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38

 

Bruce L. Greenberg

 

5

Etiology, Distribution, and Classification of Craniomaxillofacial

 

 

Deformities: Traumatic Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

43

 

Richard H. Haug and Jackson P. Morgan, III

 

6

Etiology, Distribution, and Classification of Craniomaxillofacial

 

 

Deformities: Review of Nasal Deformities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

49

 

John G. Hunter

 

7Review of Benign Tumors of the Maxillofacial Region and Considerations

for Bone Invasion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

59

Joachim Prein

 

8Oral Malignancies: Etiology, Distribution, and Basic Treatment Considerations . . . . 65

Anna-Lisa Söderholm

9Craniomaxillofacial Bone Infections: Etiologies, Distributions,

and Associated Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Darin L. Wright and Robert M. Kellman

xi

xii

Contents

10 A New Classification System for Craniomaxillofacial Deformities . . . . . . . . . . . . . . 90

Richard H. Haug and Alex M. Greenberg

Section II Biomechanics of Internal Fixation and Dental Osseointegration Implantology

11Craniomaxillofacial Bone Healing, Biomechanics, and Rigid Internal Fixation . . . . 101

Frederick J. Kummer

12Metal for Craniomaxillofacial Internal Fixation Implants

and Its Physiological Implications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Samuel G. Steinemann

13 Bioresorbable Materials for Bone Fixation: Review of

Biological Concepts and Mechanical Aspects . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Riitta Suuronen and Christian Lindqvist

14 Advanced Bone Healing Concepts in Craniomaxillofacial Reconstructive

and Corrective Bone Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Tomas Albrektsson, Lars Sennerby, and Anders Tjellström

15 The ITI Dental Implant System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138

Hans-Peter Weber, Daniel A. Buser, and Dieter Weingart

16 Localized Ridge Augmentation Using Guided Bone Regeneration in

Deficient Implant Sites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Daniel A. Buser, Dieter Weingart, and Hans-Peter Weber

17 The ITI Dental Implant System in Maxillofacial Applications . . . . . . . . . . . . . . . . 164

Dieter Weingart, Daniel A. Buser, and Hans-Peter Weber

18 Maxillary Sinus Grafting and Osseointegration Surgery . . . . . . . . . . . . . . . . . . . . . 174

Jeffrey I. Stein and Alex M. Greenberg

19 Computerized Tomography and Its Use for Craniomaxillofacial

Dental Implantology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 198

Morton Jacobs

20A Radiographic Evaluation of the Craniomaxillofacial Region . . . . . . . . . . . . . . . . . .

210

 

Dorrit Hallikainen, Christian Lindqvist, and Anna-Lisa Söderholm

 

20B

Atlas of Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

220

 

Christian Lindqvist, Dorrit Hallikainen, and Anna-Lisa Söderholm

 

21A

Prosthodontic Considerations in Dental Implant Restoration . . . . . . . . . . . . . . . . .

232

 

James H. Abjanich and Ira H. Orenstein

 

21B

Overdenture Case Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

262

 

Alex M. Greenberg

 

Section III Craniomaxillofacial Reconstructive and Corrective Bone Surgery

 

22

AO/ASIF Mandibular Hardware . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

269

 

Joachim Prein and Alex M. Greenberg

 

Contents

xiii

23 Aesthetic Considerations in Reconstructive and

Corrective Craniomaxillofacial Bone Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280

R. Gregory Smith and Luc M. Cesteleyn

Section IV Craniomaxillofacial Reconstructive Bone Surgery

24

Considerations for Reconstruction of the Head and Neck Oncologic Patient . . . . . .

289

 

Douglas W. Klotch and Neal D. Futran

 

25

Autogenous Bone Grafts in Maxillofacial Reconstruction . . . . . . . . . . . . . . . . . . .

295

 

Michael Ehrenfeld and Christine Hagenmaier

 

26

Current Practice and Future Trends in Craniomaxillofacial Reconstructive

 

 

and Corrective Microvascular Bone Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

310

 

Hubert Weinberg, Lester Silver, and Jin K. Chun

 

27

Considerations in the Fixation of Bone Grafts for the Reconstruction

 

 

of Mandibular Continuity Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

317

 

Peter Stoll, Joachim Prein, Wolfgang Bähr, and Rüdiger Wächter

 

28

Indications and Technical Considerations of Different Fibula Grafts . . . . . . . . . . . .

327

 

Peter Stoll

 

29

Soft Tissue Flaps for Coverage of Craniomaxillofacial Osseous Continuity

 

 

Defects with or Without Bone Graft and Rigid Fixation . . . . . . . . . . . . . . . . . . . .

335

 

Barry L. Wenig

 

30

Mandibular Condyle Reconstruction with Free Costochondral Grafting . . . . . . . . . .

343

 

Christian Lindqvist

 

31

Microsurgical Reconstruction of Large Defects of the Maxilla, Midface,

 

 

and Cranial Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

356

 

Rainer Schmelzeisen

 

32

Condylar Prosthesis for the Replacement of the Mandibular Condyle . . . . . . . . . . .

372

 

Joachim Prein

 

33

Problems Related to Mandibular Condylar Prosthesis . . . . . . . . . . . . . . . . . . . . . .

377

 

Christian Lindqvist, Anna-Lisa Söderholm, and Dorrit Hallikainen

 

34

Reconstruction of Defects of the Mandibular Angle . . . . . . . . . . . . . . . . . . . . . . .

389

 

Mark A. Schusterman and Elisabeth K. Beahm

 

35

Mandibular Body Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

395

 

Anna-Lisa Söderholm, Dorrit Hallikainen, and Christian Lindqvist

 

36

Marginal Mandibulectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

411

 

Sanford Dubner and Keith S. Heller

 

37

Reconstruction of Extensive Anterior Defects of the Mandible . . . . . . . . . . . . . . . .

414

 

Joachim Prein and Beat Hammer

 

38

Radiation Therapy and Considerations for Internal Fixation Devices . . . . . . . . . . .

419

 

Peter Stoll and Rüdiger Wächter

 

xiv

 

Contents

39

Management of Posttraumatic Osteomyelitis of the Mandible . . . . . . . . . . . . . .

. . 433

 

Robert M. Kellman and Darin L. Wright

 

40

Bilateral Maxillary Defects: THORP Plate Reconstruction with

 

 

Removable Prosthesis. Technique/Atlas Case Reports . . . . . . . . . . . . . . . . . . . . .

. 439

 

Christian Lindqvist, Lars Sjövall, Anna-Lisa Söderholm, and Dorrit Hallikainen

 

41

AO/ASIF Craniofacial Fixation System Hardware . . . . . . . . . . . . . . . . . . . . . . . .

. 445

 

Alex M. Greenberg and Joachim Prein

 

42

Microvascular Reconstruction of the Condyle and the Ascending Ramus . . . . . . .

. 462

 

Rainer Schmelzeisen and Friedrich Wilhelm Neukam

 

43

Orbital Reconstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 478

 

Beat Hammer

 

44

Nasal Reconstruction Using Bone Grafts and Rigid Internal Fixation . . . . . . . . . .

. 483

 

Patrick K. Sullivan, Mika Varma, and Arlene A. Rozzelle

 

45

Transfacial Access Osteotomies to the Central and

 

 

Anterolateral Skull Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. 489

 

Robert B. Stanley, Jr.

 

Section V Craniomaxillofacial Corrective Bone Surgery

46 Orthognathic Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497

Peter Ward-Booth

47 Considerations in Planning for Bimaxillary Surgery and the Implications

of Rigid Internal Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 522

Brian Alpert, George M. Kushner, and Gerald D. Verdi

48 Reconstruction of Cleft Lip and Palate Osseous Defects and Deformities . . . . . . . . 539

Klaus Honigmann and Adrian Sugar

49 Maxillary Osteotomies and Considerations for Rigid Internal Fixation . . . . . . . . . . 581

Alex M. Greenberg

50 Mandibular Osteotomies and Considerations for Rigid Internal Fixation . . . . . . . . . 606

Victor Escobar, Alex M. Greenberg, and Alan Schwimmer

51 Genioplasty Techniques and Considerations for Rigid Internal Fixation . . . . . . . . . 623

Frans H.M. Kroon

52 Long-Term Stability of Maxillary and Mandibular Osteotomies with

Rigid Internal Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 639

Joseph E. Van Sickels, Paul Casmedes, and Thomas Weil

53 Le Fort II and Le Fort III Osteotomies for Midface Reconstruction and

Considerations for Internal Fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 660

Keith Jones

Contents

xv

Section VI Craniofacial Surgery

54 Craniofacial Deformities: Introduction and Principles of Management . . . . . . . . . . 671

G.E. Ghali, Wichit Tharanon, and Douglas P. Sinn

55 The Effects of Plate and Screw Fixation on the Growing Craniofacial Skeleton . . . . 693

Michael J. Yaremchuk

56 Calvarial Bone Graft Harvesting Techniques: Considerations for Their Use

with Rigid Fixation Techniques in the Craniomaxillofacial Region . . . . . . . . . . . . . 700

John L. Frodel, Jr.

57 Crouzon Syndrome: Basic Dysmorphology and Staging of Reconstruction . . . . . . . 713

Jeffrey C. Posnick

58 Hemifacial Microsomia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 727

John H. Phillips, Kevin Bush, and R. Bruce Ross

59 Orbital Hypertelorism: Surgical Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . 738

Antonio Fuente del Campo

60 Surgical Correction of the Apert Craniofacial Deformities . . . . . . . . . . . . . . . . . . . 749

E. Clyde Smoot, III and William L. Hickerson

Appendix A1 Distraction Osteogenesis of the Mandible . . . . . . . . . . . . . . . . . . . . . . . . 757

Alex M. Greenberg and Joachim Prein

Appendix A2 ITI Strauman Dental Implant System . . . . . . . . . . . . . . . . . . . . . . . . . . .

765

Alex M. Greenberg

 

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

769

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