Current techniques and principles in bony reconstruction of the jaws

Current techniques and principles in bony reconstruction of the jaws

Scientific Mini-Lectures Curettage Surgical Sculpture Treatment of Ectodermal Tumors of Odontogenic Origin Ameloblastoma Intraluminal Intramural Invas...

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Scientific Mini-Lectures Curettage Surgical Sculpture Treatment of Ectodermal Tumors of Odontogenic Origin Ameloblastoma Intraluminal Intramural Invasive Extraosseous Calcifying Epithelial Odontogenic Tumor (Pindborg) Intraosseous Extraosseous Odontogenic Adenomatoid Tumor (Adenameloblastoma) Treatment of Odontogenic Tumors (Others) Odontogenic Myxoma Ameloblastic Fibroma Ameloblastic Fibro-odontoma Ameloblastic Odontoma Keratinizing and Calcifying Odontogenic Cyst (Gorlin) Treatment of Intraosseous Mesenchmal Tumors Central Giant Cell Granuloma Aneurysmal Bone Cyst Treatment of Salivary Gland Tumors Benign Tumors-Accessory Salivary Gland Tumors Pleomorphic Adenoma Monomorphic Adenoma Cystadenoma (Incl. Papillary) Canallicular Adenoma Oxyphilic Adenoma Treatment of Malignant Salivary Gland Tumors Malignant Pleomorphic Adenoma Adenoid Cystic Carcinoma Acinar Cell Adenocarcinoma Mucoepidermoid Carcinoma Epidermoid Carcinoma Treatment of Fibro-osseous Lesions Central Ossifying Fibroma Central Cementifying Fibroma Fibrous Dysplasia-Adult Fibrous Dysplasia-Juvenile Fibrous Dysplasia-Juvenile-Active Form Benign Osteoblastoma Treatment of Epithelial Lesions with Dysplastic Changes Atypia Dysplasia, Severe Carcinoma in situ Carcinomas (less 2 cm) Lip Carcinoma (2 cm or Less) Factors to be Considered in Treatment Planning Size of Lesion Age of Patient Recurrence Radiographic Considerations Bone Grafts

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ML 313 Current Techniques and Principles in Bony Reconstvuction of the Jaws Robert E. Marx, DDS, Miami, FL Predictable reconstruction of the jaws and maxillofacial skeleton are predicated on the four cornerstones of bone cell regeneration biology, and the judicious use of myocutaneous flaps, allogeneic tissue implants, and hyperbaric oxygen where indicated. This presentation will discuss the mechanisms and the surgical techniques of each as well as unique approaches to specific reconstructive challenges. Bone Regeneration Biology Techniques of Bony Reconstruction Using Allogeneic Bone Cribs Split Ribs: Buccolingual orientation Split Ribs: Superior-inferior orientation Hemi-ilium-Hemimandible cribs Mandible cribs Hyperbaric Oxygen Clinical protocols Radiation tissue angiogenesis Oxygen gradient mechanisms Myocutaneous flaps Pectoralis Major Lattisimus Dorsi Trapezius Sternocleidomastord Bi-pedicled Platysma flaps Walk-up flaps Specialized Approaches to Troublesome Reconstruction Costochondral articulation grafts Costochondral growth grafts Condyle reconstruction Maxillary reconstruction Andy Gump deformities References Marx, R.E. and Kline, S.N., Principles and Techniques of Bony Reconstruction in Cancer Patients. International Advances in Surgical Oncology. A.H. Liss & Co., Chapter 6, pp 167-228. 1983. Marx, R.E. and Saunders, T.M., Reconstruction and Rehabilitation of Cancer Patients. Major Preprosthetic Surgery. W.B. Saunders Co., Philadelphia, PA., 1986. Chapter 9, pp. 347-428. Davis, J.C. and Hunt, T.K., Eds., Problem Wounds in Oral and Maxillofacial Surgery: The Role of Hyperbaric Oxygen. Marx, R.E. and Johnson, R.P. Problem Wounds the Role of Oxygen. El Sevir Company, pp.65-123, 1987.

ML 314 TMJ A rthroscopic Surgery: Rationale, Treatment and Management Jeffrey J. Moses, DDS, Encinitas, CA

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1989