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Anais / Abstracs - Revista de Cirurgia e Traumatologia Buco-Maxilo ...

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CURSO INTERNACIONAL:<br />

Prof. Dr. Gerson Mast<br />

CIRURGIA ORTOGNÁTICA E MICRO-CIRURGIA<br />

RECONSTRUTIVA MAXILO-FACIAL<br />

PARTE I<br />

ORTHOGNATHIC TREATMENT<br />

Orthognathic treatment has a long tradition in the German speaking countries. Lots of surgical methods has<br />

been <strong>de</strong>veloped, but only the evolution in anesthesia, orthodontic treatment and rigid fixation methods has<br />

lead to the high standard of quality that we have today. Mo<strong>de</strong>rn treatment is based on a precise diagnosis, a<br />

preoperative orthodontic treatment, that allows for simple, standardized procedures and individual planning,<br />

respecting the individual facial harmony. The operative part of the treatment should be a low-risk procedure<br />

that is characterized by a fest recovery and stable results. It is not to forget, that all current procedures have<br />

a risk for serious complications, what will be shown in different examples. Besi<strong>de</strong> the standard osteotomies,<br />

distraction osteogenesis has become part of the concept. The initial enthusiasm is non-reduced to a more<br />

realistic view and needs through evaluation. The expected advances in orthognathic treatment will be formed<br />

in the field of digital 3-D planning prediction and perhaps computer assisted surgery.<br />

PARTE II<br />

RECONSTRUCTION OF THE MANDIBLE AND MIDFACE<br />

Despite the fact that the tumor <strong>de</strong>pend end prognosis of spinal cellular carcinoma has not improved doing the<br />

last 50 years. The methods of reconstruction of the mandible and midface are closely related to the term of a<br />

quality of life. The use of alloplasts in or without combination of tissue transform offers us a full armamentarium<br />

of possibilities. It will be shown, how the indication for different reconstruction methods is ma<strong>de</strong> and we will<br />

discuss our experience in this field of application.<br />

46<br />

<strong>Revista</strong> <strong>de</strong> <strong>Cirurgia</strong> e <strong>Traumatologia</strong> <strong>Buco</strong>-<strong>Maxilo</strong>-Facial<br />

v.4, suplemento 1, p. 01 - 58, jul/set - 2004

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