[Chemical sympatholysis guided by computerized scanning].
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Biomedical subjects
Publications and source records attributed to J P Baro.
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The transjugal osteosynthesis technique of the Obwegeser-Dalpont type is used for treatment by sagittal osteotomy of ascending rami. The material used is a direct compression mini-screw derived from that described by Michelet-Champy. Principles underlying all types of osteosynthesis (rigidity, solidity, miniaturization, according to the authors) are discussed and advantages and inconveniences of their material compared with those of other existing procedures. Two clinical cases are presented as an illustration.
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The authors expose their approach in the surgical treatment of mandibular retrognathism. They study the anomalies in the transverse, vertical and sagittal directions. They increase the transverse size of the maxilla by the mean of an original technique ("trident" osteotomy) recently described. Also they show several technical procedures about incisions, osteotomies and osteosynthesis.
Regarding the bad results of the orthopaedic treatment of subcondylar dislocated mandibular fractures, the authors present a comparative study of two series of twelve patients: one (group "A") with orthopaedic treatment; the other one (group "B") with surgical treatment by "up and down" pinning via a temporal approach. The results of surgical treatment seem to be better than those of orthopaedic treatment, as it can be seen in some other papers. The choice of the surgical technique of osteosynthesis and the indications are then discussed. It seems to be necessary to improve the specific instrumentation for wider indications an better results.
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