[Simultaneous treatment of anomalies during manafement of fractures in the maxillofacial region]. / Zur Frage der gleichzeitigen Behandlung von Anomalien bei der Versorgung von Frakturen im Kiefer-Gesichts-Bereich

Any schematism in choosing an operating technique is inappropriate in the surgical treatment of anomalies alone. This is all the more true in case of concomitant facial bone fractures which require all sorts of combinations and variations of the known procedures. None of the 13 patients who had presented during the years 1969-1973 with a maxillofacial fracture and an anomaly was subjected to the same kind of operation (with regard to osteotomy and ostectomy). An asymmetrical approach had to be adopted in almost any case to accomodate to the precautions required in the surgical treatment of the anomaly as well as to the demands on fracture management.

Aspects of extra-oral pressure osteosynthesis.

The author reviews advantages and disadvantages of some monomandibular fixation methods. He indicates the most important disadvantages of so-called pressure osteosynthesis with the aid of plates and screws. The author obtains the required pressure on the fracture surface by means of an extra-oral screws fixed in a plastic frame, the stability of which is supported by 3 steel pins. The application of this method will be explained and reviewed with some typical examples.