By A. J Baker
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They observed that in the living body in a relaxed state, skin tension occurred in one specific direction (Fig. 2). They called this phenomenon “relaxed skin tension lines” (RSTL). On the face, Borges, Alexander, and Block (1965) distinguished four principal relaxed skin tension line directions: · the facial median line · the nasolabial line · the palpebral line · the marginal facial line Borges (1973) recommended that to obtain optimal healing of scars the surgical incision should follow the relaxed skin tension line direction within these areas (Fig.
Surgical approach by means of marginal rim incision. If the mouth is small and the intraoral application of a drill and screwdriver becomes too difficult, either an angled screwdriver or the transbuccal approach can be used. After puncturing the soft tissue of the cheek, transbuccal instruments will facilitate the use of the drill and avoid injury to the cheek (Fig. 11). In a fracture at the angle of the mandible, the plate should be located on the proximal fragment medial to the oblique line, so that it is bent over the surface and the proximal screws are placed in a nearly sagittal direction.
5 Different screw head designs. (Fig. 6). All these screw types require the drilling of a pilot hole, which generally corresponds to the core diameter of the screw’s thread. In a further development, selfdrilling screws with a different screw-tip design have been introduced (see Chapter 28) that do not require pilot holes to be drilled. Plates A wide selection of preshaped plates is available according to their range of application, to suit individual requirements (Fig. 7). They differ from each other in thickness, hole-to-hole distance, hole diameter, and design.
Anderson's social philosophy by A. J Baker