SURGICAL APPROCHES TO FACIAL SKELETON

A myriad of surgical approaches to the craniomaxillofacial skeleton exist. Approaches to the craniomaxillofacial skeleton continue to evolve with the refinement of classic approaches and the advent of new technologies and approaches. Oral and maxillofacial surgery stands at the threshold of aesthetic surgery and hence it is imperative to strive towards newer techniques that give better postoperative results. Surgery of the facial skeleton differs from general orthopedic surgery since the face is plainly visible to everyone and a conspicuous scar may create a cosmetic deformity. Cosmetic considerations are critical in light of the emphasis that most societies place on facial appearance. Depending on the purpose of the procedure and the anatomic area to be addressed the surgeon has the opportunity to select the appropriate incision to employ. The Surgeon performing the procedures must hence be well versed with the neurovascular anatomy of skin and underlying muscle and respect to natural skin creases to prevent inaccuracies in the patient's esthetics and functional loss. PLAN YOUR INCISION EVEN BEFORE YOU HAVE A KNIFE IN YOUR HAND.