Incisions for the resection of the maxilla

Incisions for the resection of the maxilla

A Mistoiogical Study of Gelatin B. W. Sutton. Northwestern In an abstract of a thesis Sponge Implants in the Healing of Maxillary University Bul...

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.A Mistoiogical Study of Gelatin B. W. Sutton. Northwestern In

an

abstract

of

a thesis

Sponge Implants in the Healing of Maxillary University Bulletin ‘~8: $, April, 1948. based on research

directed

by TV. R. Sehram,

Bones. the witel

concludes : 1. The gelatin sponge does not constitute a barrier to the cellular elements of The organizing connective tissue, and the connective tissue organization of a sponge implante,d socket proceeds at a rate and in a manner comparable to an untreated extraction socket. 2. In the early states of healing in the sponge implanted sockets, there is a mild giant cell response lvhieh subsequently diminishes before the complete disappearance of the sponge. 3. The removal of the sponge from the socket, which takes from thirty to forty days, is apparently brought about by the phagocytic properties of the primitive connective tissue cells, of which the giant cells apparently represent a fusion. The leukocytes may also play a minor role in t,lie removal of the sponge. 4. The leukocytie response of the sponge-implant,ed socket is no greater than the response of an untreated socket. 5. The use of gelatin sponge does not appear to occasion any increase in osteoclastic activity. 6. In all cases, the time, rate, and manner of the new bone formation in sponge-implanted sockets is comparable to untreated healing sockets. 7. 50 definite conclusions can be drawn from this series eoncenling the clotsupporting properties of the sponge. 8. This study rlici not bring out anvL contraindications to the use of the sponge. K. II. T. Tfeber

die Schnittftihrung bei der Resektion des Qberkiefers. Incisions for the Resection of the Maxilla. H. Mafhis. Deutsehe Zahnbrztl. Zeitschrift 3: 28, 1945.

To the incisions described in Europe by Weber, Xelaton, and Kocher for the resection extension through of the maxilla, the author adds one of his olun. He omits the horizontal or under the lolrer eyelid because of the disturbance in the lymph flotv caused by the scar If because of the omission of t,he horizontal extension and its attending complications. the visibility of the field of operation is seriously impaired, the author eombines with the classical incision ,descending along the side of the nose and through the middle of the upper lip an extension arching from the corner of the mouth of the affected side along and below the inferior border as far as the external maxillary artery. The advantages are: 1. After dissection of the soft tissue, the entire cheek ean be retracted cellent view of the entire upper jaw, with access to the malar bone. 2. It giTes an excellent cosmetic and functional result. 3. It prevents disturbances of ocular function.

to gain an ex-

Ii. M. 984