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Maxillofacial Surgery Peter Ward Booth.pdf [VERIFIED]

Surgical management of skin cancer is an important part of modern maxillofacial surgery. The common tumours treated are squamous cell carcinoma, malignant melanoma and some benign lesions, but the largest group of tumours are the basal cell carcinomas. Although only locally aggressive, if they are not completely removed, recurrence may occur and be troublesome, especially in the head and neck. Even in this region, incomplete excision is uncommon, less than 20 %, but management of positive margins remains controversial. This review evaluates the effectiveness of a further surgical intervention after a positive margin.

Maxillofacial Surgery Peter Ward Booth.pdf

The maxillofacial unit is part of the team managing skin cancer. The local team consists of dermatologists, surgeons, pathologists and support nurses. This team integrates into a regional cancer team with other units and additionally includes oncologists and radiotherapists. BCCs would not normally be discussed at the regional team level. Since it has been reported that the diagnostic success of dermatologists is much greater than non-dermatologists, the dermatologist sees all patients first, and the surgical cases are referred on to the surgeons, the majority going to maxillofacial surgery.

  • The new edition of this award-winning text has been fully updated and now includes more than 2,000 detailed illustrations. This two-volume set defines maxillofacial surgery and covers the whole of the specialty - including craniofacial deformity, oral surgery, trauma, and oncology. A diverse and distinguished group of international specialists provide clear explanations of both common and rare conditions, complete descriptions of surgical techniques, and discussions of management strategies.Detailed, comprehensive coverage of the entire specialty.

  • Line drawings and photos provide a visual guide to surgical techniques, diagnoses, key concepts, and examples of pre- and post-operative results.

  • An international team of expert contributors represents oral and maxillofacial surgery as well as other specialties such as oncology, plastic surgery, dermatology, and radiology.

  • Tables and boxes compare and contrast information for quick recognition and comprehension.

  • Extensive reference lists offer sources for more information on the topics in each chapter.

  • Three new chapters cover odontogenic and nonodontogenic tumors of the jaws, vascular lesions, and office-based surgery.

  • New Key Points identify the most important information, and new Pitfalls highlight potential problems.

  • Addition of more U.S. contributors increases the book's relevance to the North American market.

  • Text is streamlined for better readability, reducing the number of chapters to 83.

  • Addresses secondary surgery in a dedicated section, covering such topics as facial scar management; secondary osteotomies and bone grafting to correct deformities; bone distraction, used commonly with congenital malformations; secondary rhinoplasty for traumatic nasal deformities, which are associated with a variety of cosmetic and functional issues; secondary orbital surgery; facial nerve injuries; and psychological support for patient with facial trauma.

  • Features an outstanding, full-color art program, with more than 750 color photos that cover all aspects of injury and treatment, and 250 color line drawings that walk you step by step through surgical procedures.

  • Includes contributions from a "who's who" list of international experts in oral and maxillofacial surgery, psychology, ophthalmology, neurosurgery, plastic surgery, and craniofacial surgery.

  • Discusses the latest etiology and management of trauma, walking you through all aspects of injury, treatment, and surgical procedures.

  • Provides stabilizing guidance prior to surgery in the acute care chapter.

  • Presents updated information on new imaging technology, current surgical procedures, and innovative treatment software throughout.

  • Includes more illustrations to guide you to the best radiologic investigation for each injury.

  • Relates brain injury to the overall management of the face for both function and esthetics.

  • Contains updated guidelines on facial fractures, expanded information on psychological problems following facial trauma, and a new chapter on pediatric trauma.

"The book is hardback and classifed as a major work, with just over 600 pages of text covering all the major trauma topics of relevance. In addition, the work has been significantly updated to reflect current evidence-based practice, supported by 800 colour pictures and new chapters on immediate care and secondary surgery...Clearly an important text for any trainee in the area as well as a reference for those practising the increasingly busy surgical speciality that is oral and maxillofacial surgery. A book that can be thoroughly recommended."

It should be emphasised that TMJ replacement for this patient group presents with many difficulties, both in terms of the anaesthetic challenges outlined above and potential surgical pitfalls. Approach to the joint is often through distorted anatomy. The risk of complications includes scar formation, facial nerve damage, gustatory sweating, and external auditory meatus perforations, and the most dreaded of note are perforation into the middle cranial fossa and severe bleeding from the medial infratemporal fossa. It remains to be seen what the long-term outcomes of joint prostheses will be and, as yet consensus is therefore lacking on the optimal timing of surgery. TMJ concepts prostheses utilise materials well proven in orthopaedic reconstruction of the knee and hip. Although life expectancy of these prostheses is unknown, studies have shown service life of 8 years [22] and 10 years [14] without evidence of untoward wear or failure. It is postulated that due to the TMJ being a non-load-bearing joint, these devices may have a minimum lifespan of 15 to 25 years; however, in patients with a lifetime chronic illness, it remains difficult to counsel them to early or late intervention in respect of any potential need for further joint replacement.

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