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 built by way of Dr. Robert M. corridor has been a boon for the plastic, max illofacial, and oral health professional. the improvement of air tool surgical procedure coincided with the hole of recent vistas in surgical procedure within the sector of craniofacial surgical procedure. Cranio facial osteotomies for orbital (ocular) hypertelorism, for the deformities of cranio stenosis (Cronzon's affliction, Apert's syndrome) and subcranial osteotomies at a number of degrees of the facial skeleton have led to dramatic advancements within the type of the facial substructure in sufferers with gross deformities. in lots of of those maxillofacial deformities the facial skeleton and dento-alveolar strategies has to be complex, recessed or increased within the lateral size. In such situations maloc clusion of the tceth is common; this is often corrected by way of intermaxillary fixation of the mo bilized bony buildings which additionally reestablishes sufficient relationships among the dento-alveolar procedures of the higher and decrease jaws. This brings us to the topic of surgical orthodontics, a box that's simply starting to extend; its improvement should still result in nearer collaboration among general practitioner and orthodontist, leading to speedy and effective development of malocclusion. The absence of vibration attribute of the air-driven turbine, unlike the automatically pushed drill, permits the healthcare professional to hold out gentle and targeted surgeries with much less fatigue to himself.
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Extra info for Air Instrument Surgery: Vol. 3: Facial, Oral and Reconstructive Surgery
Seat the medium bur guard firmly over the air drill shoulder. 3. Use the throttle extension for close finger-tip control. 2. Push bur release lever forward 90 degrees to insert the bur. Return lever flush against drill to lock bur. 4. When not in use, the burs and attachments should be placed in the bur and attachment rack. -, ir drill M dium bur guard 04 carbide-tip bur 90 0 angle 27 hort wir -pa bur 31 Section I FACIAL SURGERY Cartilage or Bone Grafting Following Subtotal Nasal Reconstruction (continued) Preoperative appearance 5.
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. Using the ame bur ction the na ofron tal proc vertically from the maxilla onto th infraorbital urface.
Jackson, F. E. : Management of Combined Intracranial Injuries and Extensive Orbital-Facial Fractures. , 134: 7, July 1969. 41 FACIAL SURGERY Section I Bibliography (continued) Lipshutz, H. and Ardizone, R. : The Use of Silicone Rubber in Immediate Reconstruction of Fractures of the Orbit. J. Trauma, 3: 563 - 568, November 1963. 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.