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THE CRANIOFACIAL Center:
Advances in the Treatment of Facial Deformities
...page 5
Larry A. Sargent, M.D.


evaluation of the upper face. The three-dimensional reconstructions have added a further dimension to facial bone analysis and provide valuable information for preoperative planning (Fig. 8).

figure 8.
Figure 8. An example of a three-dimensional CT scan showing multiple facial fractures.
figure 9.
Figure 9. This plain radiograph illustrates the use of miniplates to rigidly fix severe facial fractures.

Another major advancement has been the application of rigid skeletal fixation to craniofacial surgery. The new techniques of rigid miniplate fixation combined with wide exposure have allowed the craniofacial surgeon to obtain much better stability and eliminate intermaxillary fixation in most cases (Fig. 9). This offers a significant advantage, particularly in children, and has both improved our overall quality of results and decreased morbidity.

TABLE 1.

The Craniofacial Team:

  • Plastic surgeon
  • Neurosurgeon
  • Anesthesiologist
  • Audiologist
  • Dentist
  • Geneticist
  • Ophthalmologist
  • Orthodontist
  • Otolaryngologist
  • Pediatrician
  • Psychiatrist/Psychologist
  • Speech pathologist
  • Social worker
  • Clinical coordinator

Perhaps the biggest contribution the techniques of craniofacial surgery have brought to an allied field are in the treatment of acute craniofacial trauma (see references 5 and 6). The complete exposure of the injury pattern followed by precise rigid fixation of the fractures (using bone grafts as needed) has improved our results both functionally

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The Tennessee Craniofacial Center, part of the Erlanger Health System, is located in Chattanooga, Tennessee. The Center, led Larry A. Sargent, M.D., specializes in the evaluation and treatment of patients of all ages with craniofacial deformities. Location: 975 East Third Street. Chattanooga, Tennessee 37403
Phone: 423-778-9192 or 800-418-3223 Fax: 423-778-8172
Internet: www.craniofacialcenter.com Copyright ©1997, 2000, Erlanger Health Systems