Surgical Clinics O’Brien CJ: Current management of benign parotid tumors—The role of limited superficial parotidectomy. Head & Neck 25, No. 11, Nov 2003, pp 946-952
corticocancellous bones. Instruments requirement and techniques of harvesting ramus, tibia and iliac crest will be discussed in details. Technology that makes harvesting bone simpler will be discussed. Anesthetic techniques which make these procedures feasible for the office will be emphasized.
Minimal Incision Access for Facial Rejuvenation John E. Griffin, Jr, DMD, Columbus, MS Douglas L. Johnson, DMD, St. Augustine, FL Cosmetic facial surgery is part of oral and maxillofacial surgery training and is an area of interest to many in the specialty. Understanding the proper anatomy and diagnosis will allow us as surgeons to treatment plan our patients with the most appropriate treatment. With our extensive knowledge of facial anatomy and vast surgical skills, oral and maxillofacial surgeons are leaders in advancing facial cosmetic procedures. With the growth of facial cosmetic surgery and the projected trends, it is important for the practicing cosmetic surgeon to keep up-to-date on the latest rejuvenation techniques. Society is seeking minimal down-time, less invasive and predictable outcomes. Many advancing techniques allow for non-incisions/minimal incisions rejuvenation, endoscopic approaches, less potential risks to the patient and quicker recovery and return to normal activities. By reviewing appropriate anatomy and diagnosing the fundamental problem(s), we hope to review some of the current minimally invasive facial rejuvenation procedures. Techniques such as the Contour Thread Lift, SLift, QuickLift, MACS Lift, Endoscopic brow lift, and combination therapies will be discussed.
S212 Bone Grafting for Implant Site Preparation Hieu D. Pham, DDS, MD, San Francisco, CA The survival of implants depends on the quantity and quality of bone around the implant. This lecture describes harvesting techniques and the effective use of ramus, tibia and iliac crest bones to increase the quality and quantity of bone for implant site preparation in an office setting. Case selection will be discussed to improve success rate of the grafts and minimize morbidity of the donor sites. This lecture presents four key points for more predictable and successful bone grafting. A review of bone healing physiology will enable the clinician use autogenous bone more effective and maximize the graft volume maintenance. This lecture discusses when, where and how to use cancellous, cortical and AAOMS • 2006
References Tong L, Buchman SR: J Craniomaxillofac Trauma 6, No. 1, Spr 2000, pp 31-41 Lin KY, et al: Plast Reconstruct Surg 86, No. 4, Sep 1990, pp 449-456 Ozaki W, Buchman SR: Plast Reconstruct Surg 102, No. 2, Aug 1998, pp 291-299
S213 Treatment of Gunshot Injuries to the Face Micha Peled, DMD, MD, Haifa, Israel There are various approaches for treatment of gunshot injuries to the face, especially concerning the timing of bone grafts and the use of various flaps in the immediate phase of treatment. There is no dispute about the emergency treatment of gunshot injuries to the face which includes airway management and control of bleeding. A very important issue is the evacuation of the injured person to a level I trauma center specialized in multidisciplinary approach to trauma victims. Our protocol based on our Trauma Center experience includes: primary surgical treatment which includes copious irrigation and debridement; rigid stabilization of jawbones preserving bone as much as possible; preserving and suturing the intraoral tissues to cover the comminuted bones; primary closure of soft tissue wounds of the face with proper drainage. The second phase of surgical treatment consists of reconstruction of the face using bone grafting techniques and soft tissue revision procedures, conducted during the first weeks following trauma. The final reconstruction starts months later and includes bone graft for augmentation of the facial bones and preprosthetic oral soft tissue procedures before placement of dental implants, to enable proper oral function and facial esthetics. References Kihtir T, Ivatury RR, Simon RJ, et al: Early management of civilian gunshot wounds to the face. J Trauma 35:569, 1993 Clark N, Birely B, Manson PN, et al: High-energy ballistic and avulsive facial injuries: Classification, patterns, and algorithm for primary reconstruction. Plast Reconstr Surg 98:583, 1996 Gruss JS, Antonyshyn O, Phillips JH: Early definitive bone and softtissue reconstruction of major gunshot wounds of the face. Plast Reconstr Surg 87:436, 1991