Implant handpiece with adapted drills in orthognathic surgery: preventing facial scars
| Autor: | Otávio Emmel Becker, Orion Luiz Haas, Rafael Linard Avelar, Juliana Gonçalves Göelzer, André do Nascimento Dolzan, Rogério Belle de Oliveira |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_treatment
Bone Screws Orthognathic surgery Scars Osteotomy Cicatrix medicine Internal fixation Humans Reduction (orthopedic surgery) Orthodontics Facial Nerve Injuries business.industry Intraoral approach Orthognathic Surgery General Medicine Equipment Design equipment and supplies Facial nerve Otorhinolaryngology Torque Surgery Implant medicine.symptom business Bone Plates Malocclusion |
| Zdroj: | The Journal of craniofacial surgery. 23(6) |
| ISSN: | 1536-3732 |
| Popis: | The attachment of bilateral sagittal-split osteotomy of the mandibular ramus with bicortical screws or the combination of miniplates and a bicortical screw is complicated through the intraoral approach because of the angle required for insertion of screws, so it is necessary to use a trocater. This article aimed to report a technique developed and used in 60 patients, wherein an implant handpiece with adapted drills was used in the intraoral attachment. The setting was performed intraorally to prevent scarring and extraoral facial nerve damage, which may be caused by extraoral and transbuccal approaches routinely performed when using the trocater. The versatility of the handpiece implant allows for the insertion of monocortical and bicortical screws and rigid internal fixation of mandibular sagittal-split osteotomy, as well as surgical time reduction, decreasing postoperative morbidity. |
| Databáze: | OpenAIRE |
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