Air Instrument Surgery: Vol. 3: Facial, Oral and - download pdf or read online

By Robert M. Hall (auth.), Robert M. Hall (eds.)

ISBN-10: 3642655637

ISBN-13: 9783642655630

ISBN-10: 3642655653

ISBN-13: 9783642655654

The use of the compressed air-driven turbine for the activation of surgical burs and saws as built by means of Dr. Robert M. corridor has been a boon for the plastic, max­ illofacial, and oral health professional. the improvement of air software surgical procedure coincided with the outlet of latest vistas in surgical procedure within the zone of craniofacial surgical procedure. Cranio­ facial osteotomies for orbital (ocular) hypertelorism, for the deformities of cranio­ stenosis (Cronzon's sickness, Apert's syndrome) and subcranial osteotomies at numerous degrees of the facial skeleton have caused dramatic advancements within the kind of the facial substructure in sufferers with gross deformities. in lots of of those maxillofacial deformities the facial skeleton and dento-alveolar approaches has to be complex, recessed or elevated within the lateral size. In such situations maloc­ clusion of the tceth is common; this is often corrected through intermaxillary fixation of the mo­ bilized bony constructions which additionally reestablishes enough relationships among the dento-alveolar strategies of the higher and decrease jaws. This brings us to the topic of surgical orthodontics, a box that's simply commencing to extend; its improvement may still result in nearer collaboration among physician and orthodontist, leading to fast and effective development of malocclusion. The absence of vibration attribute of the air-driven turbine, unlike the automatically pushed drill, permits the health professional to hold out soft and distinct surgeries with much less fatigue to himself.

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Additional resources for Air Instrument Surgery: Vol. 3: Facial, Oral and Reconstructive Surgery

Example text

Return lever flush against drill to lock bur. = Air drill 28 Ti ue retractor guard 19 long te I bur Rhinopla ty guard 40 long daimond bur Removal of a Nasal Hump Removal of a Nasal Hump 1. Elevate the soft tissue and periosteum from the nasal bone. Insert the tissue retractor guard and bur under the soft tissue. Sculpt away the excess bone. 2. Move the bur gently over the nasal arch. Do not apply heavy pressure against the bur, as this will reduce speed and cutting efficiency. The tissue retractor guard acts as a tissue elevator and protector while the bur removes the bone.

2. Move the bur gently over the nasal arch. Do not apply heavy pressure against the bur, as this will reduce speed and cutting efficiency. The tissue retractor guard acts as a tissue elevator and protector while the bur removes the bone. 29 Section I FACIAL SURGERY Lateral Nasal Osteotomy (Rhinoplasty) 1. Assemble the air drill with the 40 long diamond bur and rhinoplasty guard. 2. Manually elevate the nasal soft tissue and periosteum. Insert the rhinoplasty guard and bur laterally under the elevated tissue.

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. Therefore, use the small headed burs for precision work. Use a combination of drill irrigation and suction to minimize the amount of bone dust around the operative site. Do not withdraw or approach the operative site with the bur rotating.

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Air Instrument Surgery: Vol. 3: Facial, Oral and Reconstructive Surgery by Robert M. Hall (auth.), Robert M. Hall (eds.)


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