Treatment of Frontal Sinus Fracture Using Bioabsorbable Mesh Plates

Kim, Chung Hun; Kim, Dae–Hee; Kim, Da Han; Song, Seung Yong

doi:10.1097/scs.0b013e3182418f40

Cited by 10 publications

(13 citation statements)

References 4 publications

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“…When foreign body reactions occur, patients often require secondary surgery to remove titanium plates and screws. Lastly, titanium plates and screws can induce bone deformities in children or adolescents, as their bones continue to grow [3]. To overcome these limitations, some studies have reported the use of absorbable plates and screws for the surgical treatment of craniofacial fractures.…”

Section: Discussionmentioning

confidence: 99%

Clinical usefulness of fixation of absorbable implants with cyanoacrylate in comminuted fractures of the maxilla

Son

Choi

et al. 2019

Arch Craniofac Surg

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Background The open reduction of craniofacial bone fractures requires internal fixation using metal plates and screws, which have been considered the gold standard. However, metal implants pose a risk of palpation, protrusion, and foreign body reaction, and they may require an additional operation for removal. Recently, good results have been reported for absorbable implants which complement the disadvantages of metal implants. This study presents the results of using absorbable mesh, plates, and screws with cyanoacrylate for more accurate and firmer fixation of comminuted fractures of the maxilla. Methods In total, 235 patients underwent operations for comminuted fractures of the maxilla. From January 2012 to December 2014, absorbable mesh and screws were used in 114 patients, while from January 2015 to December 2017, absorbable mesh, plates, and screws with cyanoacrylate were used in 121 patients. Open reduction of the bone fragments was performed, after which absorbable implants were accurately molded and fixed by screws. Results All patients underwent postoperative computed tomography scans, which showed highly accurate reduction and firm fixation in the patients who underwent procedures using absorbable implants, screws, and cyanoacrylate. There were no postoperative complications or cases of abnormal facial contour. Conclusion When absorbable implants and screws are used for maxillary fractures, no additional surgery to remove the metal plate is required. In addition, the use of cyanoacrylate enables accurate and firm fixation of the tiny bone fragments that cannot be fixed with screws.

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Section: Discussionmentioning

confidence: 99%

Clinical usefulness of fixation of absorbable implants with cyanoacrylate in comminuted fractures of the maxilla

Son

Choi

et al. 2019

Arch Craniofac Surg

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“…These bioabsorbable meshes and screws commonly used for blowout fracture are inappropriate for frontal bone and zygomaticomaxillary complex fractures because these bones tend to fracture into multiple small fragments. Kim et al [ 21 ] performed successful treatment of frontal sinus fracture using the bioabsorbable mesh. The method involved use of mesh applied in surgery for fracture.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Bioabsorbable Mesh in Craniofacial Trauma Surgery

Choi

Kim

et al. 2016

Arch Craniofac Surg

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BackgroundThe ultimate goal of craniofacial reconstructive surgery is to achieve the most complete restoration of facial functions. A bioabsorbable fixation system which does not need secondary operation for implant removal has been developed in the last decade. The purpose of this study is to share the experience of authors and to demonstrate the efficacy of bioabsorbable mesh in a variety of craniofacial trauma operations.MethodsBetween October 2008 and February 2015, bioabsorbable meshes were used to reconstruct various types of craniofacial bone fractures in 611 patients. Any displaced bone fragments were detached from the fracture site and fixed to the mesh. The resulting bone-mesh complex was designed and molded into an appropriate shape by the immersion in warm saline. The mesh was molded once again under simultaneous warm saline irrigation and suction.ResultsIn all patients, contour deformities were restored completely, and bone segments were fixed properly. The authors found that the bioabsorbable mesh provided rigid fixation without any evidence of integrity loss on postoperative computed tomography scans.ConclusionBecause bioabsorbable meshes are more flexible than bioabsorbable plates, they can be molded and could easily reconstruct the facial bone in three dimensions. Additionally, it is easy to attach bone fragments to the mesh. Bioabsorbable mesh and screws is effective and can be easily applied for fixation in various craniofacial trauma reconstructive scenarios.

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“…Bioabsorbable plates have been shown to be effective for anterior table fracture fixation in several limited studies. 21,22 Kim et al used bioabsorbable mesh plates for fixation of 14 patients. At a mean follow-up of 17.5 months there were no reported complica-tions.…”

Section: Anterior Table Fracturesmentioning

confidence: 99%

“…These meshes allow the surgeon to place a screw anywhere within the implant allowing easy fixation of complex fractures. 21 Despite the benefits of bioabsorbable plates, there are pitfalls that the surgeon should be aware of. These plates have been associated with late-onset sterile abscess and granuloma formation.…”

Section: Anterior Table Fracturesmentioning

confidence: 99%

Frontal Sinus Fractures: A Conservative Shift

Weathers

Wolfswinkel

Hatef

et al. 2013

Craniomaxillofacial Trauma & Reconstruction

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This article reflects on the changing management of frontal sinus fractures. Severity of these injuries has decreased tremendously since the universal adoption of seat belts and air bags. Recently, there has been a shift from aggressive surgical management to more conservative management strategies, some forgoing surgery all together. New technologies, such as bioabsorbable plates and endoscopic sinus surgery, are leading the way in improved surgical management strategies and offer promising alternatives to the more traditional approaches.

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Treatment of Frontal Sinus Fracture Using Bioabsorbable Mesh Plates

Cited by 10 publications

References 4 publications

Clinical usefulness of fixation of absorbable implants with cyanoacrylate in comminuted fractures of the maxilla

Clinical usefulness of fixation of absorbable implants with cyanoacrylate in comminuted fractures of the maxilla

The Efficacy of Bioabsorbable Mesh in Craniofacial Trauma Surgery

Frontal Sinus Fractures: A Conservative Shift

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