Surgical Approaches to the Facial Skeleton / Edition 2

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Featuring over 400 full-color surgical photographs and drawings, this text/atlas is a step-by-step guide to the surgical approaches used to expose the facial skeleton. The authors describe in detail the key anatomic structures and the technical aspects of each approach, so that the surgeon can safely gain access to the region of the craniofacial skeleton requiring surgery.

This Second Edition includes full-color intraoperative photographs that complement the surgical drawings. Several new approaches have been added—the transconjunctival approach to the medial orbit, subtarsal approach to the internal orbit, Weber-Ferguson approach to the midface, and facial degloving approach to the midface.

The book contains predominantly color illustrations, with some black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Jeffrey S. Rosenthal, MD (Bridgeport Hospital)
Description: This is the second edition of a brilliantly illustrated and well written journey that guides the reader through the maze of cranio/maxillofacial anatomy with a focused emphasis on an array of surgical exposure options of the facial skeleton.
Purpose: Flying, driving, or operating upon the facial skeleton all require a road map to prevent losing one's way. The authors have constructed a book that allows surgeons the opportunity to access the craniofacial skeleton through a step-by-step process. Other books on a similar theme are often distracted by a desire to repair the skeleton without detailing the procedures necessary to expose these defects. This book emphasizes the surgical approach, rather than the final repair.
Audience: These eminent oral and maxillofacial surgeons have assembled a sequel to their popular first edition detailing the necessary topographic exposure requisite for surgeons in oral, maxillofacial, craniofacial, and plastic surgery and otolaryngology. Residents with more than a rudimentary understanding of soft tissue handling and seasoned practitioners will benefit from this well designed book.
Features: A brief introductory section regarding basic principles of scar placement sets the stage for the subsequent chapters relating to exposure of the facial and cranial skeleton. Each of the ensuing sections highlights a particular anatomic region: periorbital, coronal, transoral, transfacial approach to the mandible, exposure of the temporomandibular joint, and the nasal skeleton. A comparable methodology is applied to each region of the face so that readers are exposed to the basics of anatomy, appropriate specialized instrumentation necessary for the surgery, surgical subtleties to preclude problems and varied skeletal approach alternatives. High quality drawings and colorized intraoperative anatomic photographs along with a succinctly written text clarify and underscore these procedural maneuvers.
Assessment: The complex nature of our skeletal cover necessitates a through knowledge of the overlying structures which are clearly elucidated in this book. Understanding the appropriate approach to the facial skeleton is certainly of paramount importance for surgeons who desire an optimal outcome; hence, one would be rewarded by having this second edition close by.
Avoids consideration of why one is exposing the skeleton in favor of describing the surgical approaches in great detail so that novices can safely approach the facial skeleton by following a step-by-step description. The volume contains 14 chapters, of which 13 describe a specific surgical approach. The first chapter discusses basic principles involved in surgical approaches. The remaining 13 chapters are organized into sections, based predominantly on the region of the face being exposed. Often more than one surgical procedure is presented for each region, with the advantages and disadvantages of each presented, and with the choice left to the surgeon. Suggestions are also made for the use of instruments that have been found useful for incising, retracting, and manipulating the tissues involved with each surgical approach. Fine illustrations by Jennifer Carmichael. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780781754996
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 12/15/2005
  • Edition description: Second
  • Edition number: 2
  • Pages: 250
  • Sales rank: 973,394
  • Product dimensions: 8.50 (w) x 11.10 (h) x 0.70 (d)

Table of Contents


Basic Principles for Approaches to the Facial Skeleton


Transcutaneous Approaches Through the Lower Eyelid

Transconjunctival Approaches

Supraorbital Eyebrow Approach

Upper Eyelid Approach


Coronal Approach


Surgical Approaches to the Maxilla

Mandibular Vestiblar Approach


Submandibular Approach

Retromandibular Approach

Rhytidectomy Approach


Preauricular Approach


External (Open) Approach

Endonasal Approach

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