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Principles of Internal Fixation of the Craniomaxillofacial Skeleton

Trauma and Orthognathic Surgery

McEwan, Thomas W. M.D.; Muzaffar, Arshad R. M.D.

Plastic and Reconstructive Surgery: October 2014 - Volume 134 - Issue 4 - p 856-857
doi: 10.1097/PRS.0000000000000620
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As a service to our readers, Plastic and Reconstructive Surgery® reviews books, DVDs, practice management software, and electronic media items of educational interest to reconstructive and aesthetic surgeons. All items are copyrighted and available commercially. The Journal actively solicits information in digital format (e.g., CD-ROM and Internet offerings) for review.

Reviewers are selected on the basis of relevant interest. Reviews are solely the opinion of the reviewer; they are usually published as submitted, with only copy editing. Plastic and Reconstructive Surgery® does not endorse or recommend any review so published. Send books, DVDs, and any other material for consideration to: Ronald P. Gruber, M.D., Review Editor, Plastic and Reconstructive Surgery, UT Southwestern Medical Center, 5959 Harry Hines Boulevard, POB1, Suite 300, Dallas, Texas 75390-8820.

Ronald P. Gruber, M.D.

Review Editor


Since its inception in 1958, Arbeits gemeinschaft für Osteosynthesefragen (AOCMF) has been an international, multidisciplinary leader in the advancement of the care of musculoskeletal injuries. The craniomaxillofacial division has been active for 40 years, and in 2013, AOCMF hosted 93 educational courses and sponsored 50 craniofacial fellows worldwide. Principles of Internal Fixation of the Craniomaxillofacial Skeleton: Trauma and Orthognathic Surgery is an update to the original AOCMF text Manual of Internal Fixation in the Craniofacial Skeleton, published in 1998.

The seven sections of this text are authored by a group of international experts from various specialties involved in the care of patients with craniofacial injuries: plastic surgery, oral and maxillofacial surgery, otolaryngology, dentistry, research, and engineering. These experts present an exhaustive review of the management of fractures of the entire craniofacial skeleton and a comprehensive overview of commonly performed orthognathic procedures. The overall organization is simple and clear, with major sections covering general aspects, mandible fractures, midface fractures, skull/skull base fractures, panfacial fractures, pediatric fractures, and orthognathic surgery. Each major section concludes with a useful list of references and suggested readings from the primary source journals. We found each chapter to be well-organized, detailed, and presented in an easy-to-digest format.

The introductory “general aspects” section provides the reader with a substantial knowledge base of anatomy, bone healing, hardware design and function, and principles of craniomaxillofacial trauma care that is essential to the successful care of patients with craniofacial injuries. Each facial fracture chapter is thorough and presented in a uniform manner, with only rare variations to include sections of special interest unique to a particular topic. This format not only serves to make the text a smooth, quick read but also gives the reader the ability to rapidly find specific information she or he is looking for. The orthognathic section has been nicely expanded from the original AOCMF text and now provides a thorough overview of the preoperative evaluation, surgical care, and postoperative management of some commonly performed orthognathic procedures. The scope of the text has been limited to trauma and orthognathic surgery; therefore, the chapters on mandible reconstruction after tumor extirpation and craniofacial deformities in the original AOCMF text have been omitted. The illustrations, radiographs, and photographs are of superb quality and increase the value of the text exponentially. As a minor critique, more preoperative, intraoperative, and postoperative clinical photographs would further enhance the text.

The expert advice found interspersed throughout the text, particularly the “complications and pitfalls” sections found in nearly every chapter, is clearly based on extensive experience, and is of great value to trainees and experienced practitioners alike. This text is capable of serving as a stand-alone, “go-to” reference for an overview of the management of craniofacial trauma and common orthognathic procedures. We do note that AO instrumentation and hardware is sold exclusively by Synthes, and all of the hardware and instrumentation presented in the text is from Synthes. We caution the reader to be cognizant of this relationship and the potential effects this could have on a surgeon’s relationships with medical device companies as well as his or her choice of instrumentation and/or hardware. Overall, this is a thorough, well-written, easy-to-read text, and while it will undoubtedly prove particularly valuable for trainees, it should not be overlooked by experts. It will make a valuable addition to the library of any surgeon who cares for patients with craniofacial skeletal injuries.

Thomas W. McEwan, M.D.

Arshad R. Muzaffar, M.D.

©2014American Society of Plastic Surgeons