Chattopadhyay Chandrashekhar
Department of General Dentistry, Dr S.N. Medical College, Shastri Nagar, Jodhpur, Rajasthan 342001 India.
J Maxillofac Oral Surg. 2019 Mar;18(1):34-39. doi: 10.1007/s12663-018-1083-6. Epub 2018 Jan 22.
Frontal bone deformities can be acquired due to trauma or ablative tumor resection surgeries and osteomyelitis. It may also occur due to congenital malformations. Repair of these defects have long been a challenge to oral and maxillofacial surgeons. We report our experience in the reconstruction of acquired frontal bone defects by titanium mesh implant.
Titanium mesh was used for reconstruction in 35 patients (18-55 years age-group) (34 males and 01 females) of acquired frontal bone defects secondary to trauma (RTA). All these patients have been referred to author by Department of Neurosurgery of the institute of Affiliation.
All these cases acquired defects as a result of trauma. Follow-up ranged from 12 to 18 months after the reconstruction. Patients were followed up for the progress of healing, stability of implants, infection, wound dehiscence, discharging sinus, exposure of implants, collections, patient satisfaction regarding esthetics and reaction to thermal changes. No postoperative complications were found.
In reconstruction of frontal bone defects, titanium mesh gives satisfactory results.
额骨畸形可因创伤、肿瘤切除手术及骨髓炎等导致,也可能由先天性畸形引起。长期以来,修复这些缺损一直是口腔颌面外科医生面临的挑战。我们报告应用钛网植入修复后天性额骨缺损的经验。
对35例(年龄18 - 55岁,男34例,女1例)因创伤(道路交通事故)导致后天性额骨缺损的患者采用钛网进行修复。所有这些患者均由附属医院神经外科转诊至笔者处。
所有病例均因创伤导致缺损。重建后随访时间为12至18个月。对患者进行愈合进程、植入物稳定性、感染、伤口裂开、引流窦、植入物外露、积液、患者对美观的满意度以及对温度变化反应等方面的随访。未发现术后并发症。
在额骨缺损修复中,钛网取得了令人满意的效果。