小儿口腔与上颌外科学Pediatric Oral and Maxillofacial Surgery

内容概要

Leonard B. Kaban, DMD, MD, FACS, Walter C. Guralnick Professor and Chairman, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital and Harvard School of Dental Medicine, Boston, MA; and Maria J. Troulis

书籍目录

PART I　GENERAL CARE OF THE PEDIATRIC SURGICAL　PATIENT　Preoperative Assessment of the Pediatric　Patient　　 Marjorie A. Curran　 General evaluation　　 Preoperative laboratory tests　　 Specific considerations　　    Premature infant　　    Genetic disorders and syndromes　　    Craniofacial anomalies　　    Cardiovascular disorders　　    Pulmonary problems　　　Gastrointestinal disorders　　　Renal disease　　　Hematologic diseases　　　Neurologic disorders　　　Endocrinologic disorders　　　Pregnancy testing　　　Psychosocial issues　　  Conclusion　　2 Molecular Genetics and Syndrome　   Recognition for the Clinician　　  Joan M. Stoler　   Molecular genetics　　　 "New genetics　　　 Human Genome Project　　　 Short primer on molecular genetics　　   Birth defects　　　 Chromosomal disorders　　　 Single gene disorders　　　 Nontraditionally inherited disorders　　   Syndrome recognition for the clinician　　　 Review of medical history　　　 Family history　　　 Physical examination　　　 Laboratory and testing methods　　    Common syndromes with facial deformity　　　 Branchio-oto-renal-dysplasia　　　  Chembism　 　  Nevoid basal cell carcinoma syndrome　　  Pierre Robin sequence　    Conclusion　    Psychological Preparation of the Child    Undergoing a Maxillofacial Surgical　Procedure　    Myron L. Belfer　Psychological development　　Initial evaluation of child and parents　　  Referral　　   First interview　　Approach to the child　　   Explaining the procedure　　   First conversation　　   Concept of time and use of a calendar　   Use of hospital surgical preoperative programs　　   Anesthesia　　Asking the difficult questions　　Procedures requiring special consideration　 　   Distraction osteogenesis　　   Maxillomandibular or intermaxillary fixation　　   External devices　　   Grafts　　Hospitalization　　Acute complications　　 Postsurgery issues　　   Meeting again with the parents and child　　   Dealing with negative psychological reactions.　 Offering ongoing contact　　   Use of the psychological referral postoperatively　　 Difficult situations with parents　　    Separated and divorced parents　　    Child with negative prior experience　　    "You can do what no one else has been able to do　　    Absent mother or father　    Additional medical condition(s) with life-threatening dimension　　    "My child is special　　    Effort to put the child at risk. 　    Child with preexisting known psychological problems　……

作者简介

As the only book available on the topic, this text  provides a unique look at both traditional techniques and cutting-edge  information on the specific management of pediatric oral and  maxillofacial surgery. Vivid photographs from all stages of the  surgical procedures highlight the discussions and explanations from  the premier authorities in the field. Coverage encompasses all areas  of treating pediatric patients, including growth and development,  psychological management, anesthesia and sedation, metabolic  management, genetics, and speech problems.     * Full-color format featuring step-by-step photos and detailed drawings illustrate each technique and visualize key concepts.   

* Discussions of both common and uncommon procedures provide an understanding of the timing of treatment and the prevention of potential problems.   

* Material on speech disorders demonstrates the risk factors and craniofacial relationships for the surgeon to consider when determining functional outcomes.   

* A chapter dedicated to molecular genetics and syndrome recognition supplies the reader with knowledge of genetics that can assist in diagnosis and development of treatment.   

* Descriptions of the principles and changes of facial growth in children help to develop a rational treatment plan.   

* Subject matter relating to anesthesia and sedation in pediatric patients presents important management challenges and suggests guidelines for procedures.   

* A chapter suggests guidelines for deep sedation and anesthesia in pediatric offices.   

* A chapter on maxillofacial infections covers diagnosis and treatment in an area that comprises a significant part of oral and maxillofacial surgery training and practice.   

* Thorough discussion of salivary gland inflammatory disorders and salivary tumors in children.   

* Extensive features on head and neck tumors in children give insight into the difficult decisions regarding chemotherapy, radiation therapy, and/or resection.   

* Step-by-step analyses of ancillary procedures provide detailed information on pediatric oral and maxillofacial surgery.   

* Comprehensive coverage of orofacial pain, facial fractures, soft tissue abnormalities, and vascular anomalies improves understanding of these sometimes confusing conditions.

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