Arch Craniofac Surg.
2018 Sep;19(3):175-180. 10.7181/acfs.2018.01942.
Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
- Affiliations
-
- 1Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine, Jeonju, Korea. changsc12@naver.com
- 2Research Institute of Clinical Medicine-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
- KMID: 2422460
- DOI: http://doi.org/10.7181/acfs.2018.01942
Abstract
- BACKGROUND
The facial bone has a complex structure compared to other bones, and various types of fractures can occur due to its characteristics. Among them, in comminuted fractures of anterior maxillary wall, multiple depressed and impacted bony segments cannot be reduced easily when performing internal fixation using plates and screws or wires, and inadequate restoration leads to a range of complications. This paper introduces an alternative technique using a resorbable mesh with fibrin glue to restore comminuted fractures of anterior maxillary wall.
METHODS
Thirteen patients were diagnosed with comminuted fractures of anterior maxillary wall between March 2017 and February 2018 in the authors' hospital. All patients with comminuted fractures of anterior maxillary wall underwent restoration using resorbable mesh with fibrin glue. The patients' demographics, causes of facial trauma, mean operation time, length of hospital stay, follow-up period, and complications were recorded.
RESULTS
No major complications and only one hypoesthesia of the skin area was noted. Three months after surgery, the hypoesthesia recovered completely. After surgery (mean, 3.9 months; range, 2-12 months), computed tomography showed that the bone fragments in all patients were fixed successfully in their anatomical places.
CONCLUSION
In comminuted fractures of anterior maxillary wall, the use of a resorbable mesh with fibrin glue can be an advantageous and effective method for a successful restoration without complications.
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