The rigid internaI fixation of mandibular fractures has become a widely
ac- cepted practice among European surgeons. The caution or even
outright re- jection voiced at a congress of the German Society of
Maxillofacial Sur- 1970s is no longer prevalent. Through a process of
geons held in the late critical review and implementation, rigid
internaI fixation has become an established treatment modality at
numerous centers, especially in Switzer- land, the Federal Republic of
Germany, and the Netherlands. By comparison, the method has received
very little attention in North America and the Anglo-Saxon countries. By
and large, surgeons in these countries continue to treat mandibular
fractures by intermaxillary fixation, possibly supplemented by the use
of interosseous wires. Many recent edi- tions of surgical texts confirm
this. Lately, however, there appears to be a surge of interest in
methods of functionally stable internaI fixation, especially in the
United States of America, and AO/ ASIF instruction courses are
increasingly in demand. This book is intended to aid course participants
in their lessons and practi- cal exercises and also to guide the
clinical practitioner in the application of AO/ ASIF principles. Basel,
September 1988 B.SPIESSL VII Acknowledgments I have received help from
many sources. The colleagues of the past 20 years who have contributed
to the case material upon which this manual is based are too numerous to
credit by name.