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 through Dr. Robert M. corridor has been a boon for the plastic, max illofacial, and oral health care provider. the advance of air device surgical procedure coincided with the hole of recent vistas in surgical procedure within the region of craniofacial surgical procedure. Cranio facial osteotomies for orbital (ocular) hypertelorism, for the deformities of cranio stenosis (Cronzon's disorder, Apert's syndrome) and subcranial osteotomies at quite a few degrees of the facial skeleton have caused 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 techniques needs to be complicated, recessed or multiplied within the lateral size. In such instances maloc clusion of the tceth is common; this is often corrected by means of intermaxillary fixation of the mo bilized bony constructions which additionally reestablishes sufficient relationships among the dento-alveolar procedures of the higher and reduce jaws. This brings us to the topic of surgical orthodontics, a box that's simply commencing to extend; its improvement should still lead to nearer collaboration among doctor and orthodontist, leading to speedy and effective development of malocclusion. The absence of vibration attribute of the air-driven turbine, not like the automatically pushed drill, permits the health care provider to hold out gentle and special surgeries with much less fatigue to himself.
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Extra resources for Air Instrument Surgery: Vol. 3: Facial, Oral and Reconstructive Surgery
Donald C Osbon, D. C, Chief of Oral Surgery , Letterman General Hospital, San Francisco, California, USA (Per- sonal Communication). 48 Anterior Maxillary Osteotomy 3. With the 02 carbide-tip bur make a vertical incision in the cortical plate in the first biscuspid area. Extend the incision superiorly above the apex of the cuspid root and then angle the incision anteriorly into the lateral portion of the pyriform fossa. Enlarge the groove to obtain the desired space for setback of the premaxilla.
If a large amount of iJicone mu t be u d it i quick r to carve it with a bJad and then mooth the harp edge with the diam nd bur. 39 Section I FACIAL SURGERY Technique Suggestions A new steel or carbide-tip bur will quickly remove dense cortical bone. Use a light touch and allow the high-speed rotation and bur to incise the bone. The rotating speed and torque may be reduced by reducing pressure at the regulator. The larger steel burs have a tendency to skip, especially if the pressure is reduced, because then more manual pressure is required on the bur.
Nd rmine the kin a far d wn a the na al tip and in ert the graft along th na at dorsum. antitevering of(h bon graft maintain th tip in an adeq uate degr of protru ion. 33 FACIAL SURGERY Section I Kronl in Procedur The inci ion With a retract r r f1 cling the oft ti ue, and a guard behind th orbital rim, take th 04 carbide-tip bur and incise the bone. It i po ible to incise the bonc for two-third of it depth; a gentle tap with a chi el will complete the eparation. Retlect th e b nc gmcnt to xpo th tumor.
Air Instrument Surgery: Vol. 3: Facial, Oral and Reconstructive Surgery by Robert M. Hall (auth.), Robert M. Hall (eds.)