Titanium mesh in the reconstruction of a malar defect: a case report

Massa, António Fernandes; Otero-Rivas, Mercedes; Rodríguez-Prieto, Manuel Ángel

doi:10.1111/ijd.12551

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Titanium mesh can be used to hold small comminuted fragments with mini-screws if there are small-sized fragments that allow screw placement. In case of severe comminution where the minute fragments of bone are not amenable to screw fixation, titanium mesh can be adapted and moulded over the minute fragments to hold them in a place like bone grafts [14]. Although miniplates and microplates have widespread usage for midfacial fractures, they have an innate problem of not being able to withstand three-dimensional movements and they cannot hold the fragments of bones in all three dimensions.…”

Section: Discussionmentioning

confidence: 99%

Shaping of comminuted midface fractures with stock Titanium mesh: a technical note

Singh

Dhungel

Dulal

et al. 2021

J Oral Med Oral Surg

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Multiply fragmented fractures of the maxillofacial region are difficult to fix with traditional miniplate osteosynthesis because of the extremely small size of fragments, complex three-dimensional anatomy, thin bone unable to hold screws and multidirectional pull of muscles. We intend to present a technical note on a case series of extremely comminuted midfacial fractures reconstructed with stock Titanium mesh, cut to shape and used to mold the small fragmented segments into the shape of the facial bones. Severe fragmentation of midface leads to facial hollowing, tissue prolapse and asymmetry even after major facial buttresses are fixed and reconstructed. Simple stock Titanium mesh can be used to reconstruct these severe fragmentations of thin bones of the midface as shown in the series and avoid late and unsightly complications.

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Section: Discussionmentioning

confidence: 99%

Shaping of comminuted midface fractures with stock Titanium mesh: a technical note

Singh

Dhungel

Dulal

et al. 2021

J Oral Med Oral Surg

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“…The additional advantage of titanium mesh is its ability to provide support or cupping of the fragments as it can be moulded to fit the exact curves and dimensions of the zygoma, orbit, maxilla and frontonasal region. In case of depressed orbital roof fractures along with frontal bone anterior wall fractures, a single piece of titanium mesh can be used to reduce and support the anterior wall of frontal bone as well as to adapt and mould the depressed supraorbital rim and orbital roof 10,11 . We achieved moulding of comminuted orbital rims with a small titanium mesh rolled into the shape of orbital rims.…”

Section: Discussionmentioning

confidence: 99%

Shaping of comminuted maxilla fractures with titanium mesh

Budhiraja

Singh

Kaur³

et al. 2021

ijhs

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Multiply comminuted fragmented fracturesof the maxillofacial area are difﬁcult to ﬁx with titanium plates because of the small size of fragments, complex 3D anatomy, thin bone which is unable to hold screws and multidirectional pull of muscles.This study intend to present a case series of extremely comminuted maxilla fractures involving orbital floor both of which rereconstructed with Titanium mesh, cut to shape and used to mold the small fragmented segments in to the shape of the facial bones. Severe fragmentation of maxillary wall leads to facial hollowing, tissue prolapse and asymmetry even after major facial buttresses are reconstructed. Simple Titanium mesh can be used to reconstruct these severe fragmentations of thin bones of the maxillary wall as shown in the series and avoid late and unsightly complications.

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“…[ 1 2 3 4 ] Different approaches to zygoma reconstruction have been described in the literature. [ 5 6 ] They include nonvascularized autologous bone grafting, free tissue transfer on microvascular anastomosis, preformed titanium plates and meshes, custom-made patient-specific implants (PSIs), or a combination of the above methods. [ 1 7 8 9 ] In recent decades, the autologous bone grafting procedures have been considered the gold standard for reconstruction of midface bone defects.…”

Section: Introductionmentioning

confidence: 99%

Application of patient-specific implants as alternative approach to zygoma defect management - A retrospective study

Kustro

Chepurnyi

Zhukovtseva

et al. 2021

Ann Maxillofac Surg

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Introduction: Zygoma defects are a challenging clinical problem and are frequently connected with the alteration of facial harmony, horizontal asymmetry of the face, and significant functional deficit. The application of patient-specific implants (PSIs) has the potential to improve the effectiveness of zygoma defect management. The aim of this study was to evaluate the anatomic, esthetic, and functional outcomes of PSI application for zygoma reconstruction. Materials and Methods: A retrospective study was conducted on data from 11 patients with zygoma defects who underwent a reconstruction procedure in which a PSI was applied and was followed for >1 year after surgery with the evaluation of esthetic and functional outcomes. Precision of PSI position and anatomy reconstruction was estimated by superimposition of the models with automatic point-to-point measurement and determination of the existing deviations between models. Results: The mean follow-up period in our study was 21.6 ± 6.2 months (range 14–39 months). No major complications occurred in the postoperative period: There were no clinical or computed tomography symptoms of maxillary sinusitis, implant-related infection, or implant exposure. The mean deviation between the planned and real positions of PSIs in our series was 0.72 ± 0.41 mm. The mean deviation between the reconstructed zygomatic complex and the mirrored intact side in our series was 1.45 ± 0.7 mm. The mean volume difference between the intact and damaged orbits was 1.7 ± 0.8 mm 3 . Discussion: The results of the present study support the wider clinical application of PSIs in orbital and zygoma reconstructions, as it is an effective option to achieve precise reconstruction of the complex zygoma anatomy.

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Titanium mesh in the reconstruction of a malar defect: a case report

Abstract: Background Increasing rates of non-melanoma skin cancer support the use of prosthetic

Cited by 3 publications

References 6 publications

Shaping of comminuted midface fractures with stock Titanium mesh: a technical note

Shaping of comminuted midface fractures with stock Titanium mesh: a technical note

Shaping of comminuted maxilla fractures with titanium mesh

Application of patient-specific implants as alternative approach to zygoma defect management - A retrospective study

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