Titanium mesh (TiMesh) osteosynthesis: a fast and adaptable method of semi-rigid fixation

The use of titanium mesh sheet in the frontozygma tico‐orbital region. Case reports

“…5 In addition, as is known, intermaxillary fixation is not advisable in patients with severe head injuries, cerebral injuries, epilepsy, psychiatric diseases, and airway disturbances.…”

“…23 In a long series of orbital reconstructions in which three or four walls of the anterior and middle orbit were destroyed, titanium mesh was useful as it allowed the conversion of large defects to smaller ones, making bone grafting easier and more stable. 22 Also, individually shaped titanium mesh filled with bone grafts can be used for maxillary defects resulting not only in good cosmetic appearance but permitting the construction of a simple prosthesis or even endosseous implants 1 4 as in other jaw defects 5,[11][12][13] and augmentation of the edentulous alveolar ridge. 15,16 The cost of a titanium-mesh kit is less than most mini-plate kits although screws and mesh are more expensive.…”

“…[1][2][3][4][5] The evolution of mesh osteosynthesis is contemporaneous to that of plates. A rigid steel mesh was used in the USA in the early 1960s and a new slightly malleable vitallium mesh was introduced at the same time.…”

“…[6][7][8] The wide range of maxillofacial injuries from the Vietnam war gave rise to the production of the malleable titanium mesh (TiMesh) for semi-ri gid fixat i o n . 5 Titanium mesh prove d useful in mandibular fractures, 9,10 mandibular and jaw defects, [11][12][13][14] augmentation of edentulous alveolar ridges, 15,16 Le Fort I osteotomies, 5,17,18 Le Fort III o s t e o t o m i e s , 1 9 ramus osteotomies, 2 0 free gr a f t i n g mandibular condyle, 21 mandibular reconstruction, 5,16 orbital wall reconstruction, 22,23 The purpose of this article is to present the use of titanium mesh sheet in the reconstruction of the anterior wall of the frontal sinus, the orbital walls and zygomatic butresses and to discuss the reported advantages of this material for semi-rigid fixation in maxillofacial surgery.…”

Titanium mesh cages (TMC) in spine surgery

“…Titanium mesh cages originated in orthopaedic surgery as fenestrated metal sheets used in reconstructive maxilla facial surgery and acetabular replacement surgery more than 20 years ago [19]. These were regularly used to deal with bony defects.…”