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Book and Multimedia Reviews
Nov/Dec 2012

Craniomaxillofacial Buttresses: Anatomy and Repair

Arch Facial Plast Surg. 2012;14(6):469. doi:10.1001/archfacial.2012.906

Accurate realignment of the craniomaxillofacial buttresses is essential to successful facial fracture repair. While this concept is commonly accepted for facial reconstructive surgeons today, Dr Pollock and his contributors exquisitely detail the surgical anatomy for craniomaxillofacial reconstruction and provide algorithms for repair that are drawn from the expertise of multiple disciplines.

The text begins by paralleling the craniomaxillofacial skeleton with wonders of architecture followed by descriptions of structural physics and biomechanics. It then progresses to the principles of maxillofacial buttress repair, followed by in-depth application of those principles to each craniomaxillofacial anatomical section, including the palatal platform, mandible, midface, orbit, cranial base, and finishing with panmaxillofacial injury. Each anatomical section begins with illuminating illustrations and photographs of the surgical anatomy followed by algorithms and case studies of operative repair that are depicted with preoperative, intraoperative, and postoperative photographs coupled with illustrations of optimal fracture realignment and plate application. Management of less optimal outcomes that can be associated with repair is also presented, and each chapter ends with an exhaustive list of key articles to which the reader may refer for further understanding.