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Summary
This thesis details early-stage treatments and after-care for bone and soft tissue injuries, including orthodontic appliances and scar management. It also covers treatments for temporomandibular joint (TMJ) ankylosis, pseudoarthrosis, nerve injuries, and speech defects.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Plastic Surgery
Context:
- This thesis reviews historical and contemporary treatment modalities for complex craniofacial and dental conditions.
- It emphasizes the critical role of after-treatment following initial surgical interventions like bone and soft tissue plastic surgery.
Purpose:
- To provide a comprehensive overview of early-stage treatments and subsequent after-care protocols.
- To detail various surgical and non-surgical methods for managing complications such as scar tissue, TMJ ankylosis, pseudoarthrosis, and nerve injuries.
- To explore therapeutic options for associated speech defects.
Summary:
- Early-stage treatment frequently involved splints and orthodontic appliances (inclined planes, sliding splints, elastics, frame splints).
- After-treatment strategies encompass scar management (excision, softening, massage, suction, thermal, chemical) and addressing specific complications like TMJ ankylosis, pseudoarthrosis, and nerve injuries.
- The thesis also briefly addresses speech defect therapies.
Impact:
- Offers a historical perspective on craniofacial reconstructive after-care, informing current practices.
- Highlights the multidisciplinary approach required for managing complex post-surgical sequelae.
- Provides a foundational understanding for clinicians and researchers in oral surgery, orthodontics, and rehabilitation.