Comparison of four techniques for craniofacial bone loss reconstruction

Introduction: At present, there are several techniques and materials that have been recommended for the reconstruction of bone defects caused by craniofacial trauma.

The ideal material for the reconstruction is autogenous bone graft, given its osteogenic characteristics and optimal biocompatibility. However, due to its availability, utilization in large defects is limited. Therefore, the need of implants must be considered.

Purposes: The present study pretends to compare four techniques for the reconstruction of craniofacial defects resulting from trauma, regarding esthetic results, possible intra-operative and post-operative complications, total time of the surgery and economic cost.

Materials and methods: Presentation of ten cases of craniofacial reconstruction techniques performed in the Mutual de Seguridad Hospital and Carabineros Hospital, that were treated with titanium implants, medpore, methyl methacrylate and hydroxyapatite cement (Mimix ® ) to restore the facial harmony. The minimum monitoring period was 6 months.

Results: The four techniques showed satisfactory esthetical and imaging results over time, with no post-operative complications. Titanium implant is the most expensive technique, and hydroxyapatite cement (Mimix ® ) is difficult to manipulate.

Conclusion: The four craniofacial reconstruction techniques are satisfactory clinically, esthetically and in imaging. The choice of one technique over the others depends on the experience of the surgeon and the characteristics of the case.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Comparison of four techniques for craniofacial bone loss reconstruction

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