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聚甲基丙烯酸甲酯用于面部创伤重建——病例报告

Facial trauma reconstruction with polymethyl methacrylate-A case report.

作者信息

Milhomem Anália Cirqueira, Alves Luciano Moreira, de Souza Jorge Isabella Mendes, Costa Eduardo Luis, Vinaud Marina Clare, de Souza Lino Júnior Ruy

机构信息

Tropical Pathology and Public Health Institute, Federal University of Goias, Goiânia, GO, Brazil.

Radiologist from the Urgencies Hospital of Aparecida de Goiani (HUAPA), Goiânia, GO, Brazil.

出版信息

J Cosmet Dermatol. 2018 Dec;17(6):1037-1040. doi: 10.1111/jocd.12786. Epub 2018 Sep 23.

Abstract

BACKGROUND

Polymethyl methacrylate (PMMA) is a dermatologic filler commonly used in esthetic procedures. However, it can also be used in more severe cases such as reconstruction of facial traumas.

AIMS

The aim of this report was to describe the use of PMMA in a nasal reconstruction of a patient victim of an automobilist accident which presented previous rejection of autograft.

PATIENT

A young female patient, 26 y, victim of automobilist accident, with no bone support due to trauma both in the mandibulum and maxilla, presented fracture of several facial bones. Presented rejection of a bone autograft from the skullcap implanted on the nose. In order to harmonize the facial aspect, a nasal fill with PMMA for the anatomic reconstruction of the nose was performed.

RESULTS AND CONCLUSIONS

PMMA promoted the recovery of facial and nasal esthetic characteristics of the patient ensuring a satisfactory result.

摘要

背景

聚甲基丙烯酸甲酯(PMMA)是一种常用于美容手术的皮肤填充剂。然而,它也可用于更严重的情况,如面部创伤的重建。

目的

本报告的目的是描述PMMA在一名汽车事故受害者的鼻重建中的应用,该患者曾出现自体移植排斥反应。

患者

一名26岁的年轻女性患者,汽车事故受害者,由于下颌骨和上颌骨的创伤而没有骨支撑,面部多处骨骼骨折。曾对植入鼻子的颅骨自体骨移植出现排斥反应。为了使面部外观协调,进行了用PMMA填充鼻子以进行鼻解剖重建。

结果与结论

PMMA促进了患者面部和鼻部美学特征的恢复,确保了满意的结果。

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