J Korean Assoc Maxillofac Plast Reconstr Surg.  1998 Feb;20(1):75-80.

RECONSTRUCTION OF PREMAXILLA WITH TITANIUM MESH AND ILIAC PMCB

• Lee DK
• Lee EY
• Kim YW
• Han DH

Abstract

There are various methods in reconstruction of maxillary defect area. The types of grafts available for the maxilla and mandible are the autogenous., allogeneic, alloplastic, and xenogeneic. The combined use of titanium mesh and grafting of particulate marrow and cancellous bone (PMCB) has been employed for the past 25 years in the reconstruction of varying degrees of bone deficiencies in atrophic and deficient maxillas. A technique for maxillary bone grafting with titanium mesh to augment the deficient premaxilla area is presented. The technique employs one of two thickness of titanium mesh. These thickness and this degree of opening are ideal for the reconstruction of a totally missing maxillary alveolar ridge resulting from tuberosity to tuberosity. The titanium mesh maintains an appropriate contour for desired osseous restoration of the maxilla and supplies the proper submucosal support of the bone grafts to withstand modified occlusal function during the time the titanium mesh is place. Following the removal of the titanium mesh, a secondary epithelization surgical procedure is performed to create a vestible. Sine an excellent labial and buccal vestible as formed in this manner, a vestibuloplasty with skin or mucosal grafting is unnecessary. Thus, the one technique serves two purposes : increasing the bony height of the deficient ridge and producing an acceptable mucobuccal fold. We'd like to report the good result in reconstruction of deficient maxilla with titanium mesh and iliac PMCB.

MeSH Terms

Alveolar Process
Bone Marrow
Equipment and Supplies
Mandible
Maxilla
Skin
Titanium*
Transplants
Vestibuloplasty
Titanium