두개안면골 결손부 재건에 있어서 티타늄 그물판의 임상적 유용성

Clinical Usefulness of Titanium Mesh in Reconstruction of the Craniofacial Bone Defects

  • 서영민 (고신대학교 복음병원 성형외과학교실) ;
  • 정승문 (고신대학교 복음병원 성형외과학교실)
  • Seo, Yeong Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University) ;
  • Jeong, Seung Moon (Department of Plastic and Reconstructive Surgery, College of Medicine, Kosin University)
  • 투고 : 2006.09.23
  • 발행 : 2006.11.10

초록

Purpose: Reconstruction of the craniofacial defects can be carried out with autogenous tissues, allogenic implants, or alloplastic materials. Titanium mesh systems have been used for bony reconstruction in non load-bearing areas. They offer several advantages: immediate availibility without any donor site morbidity, easy handling, stable 3-D reconstruction, and low susceptibility to infection. The aim of this study is to evaluate the usefulness and complications of titanium mesh system in the reconstruction of the craniofacial defects. Methods: From Jan. 2000, to Dec. 2004, we performed reconstruction of craniofacial bone defects in 21 patients who had benign or malignant tumor and fracture events in the cranium, orbit, nasal bone, maxilla, zygoma and the mandible. The size of the defects ranged from $1.0{\times}1.5cm$ to $12{\times}10cm$. Two different mesh systems, micro-titanium augmentation mesh and dynamic mesh was used for bony reconstruction in non load-bearing areas. The patients were evaluated from 1 to 4 yrs clinically and radiographically with a mean follow up period of 1.5 yrs. Results: There were no serious complications, including wound infection, foreign body reaction, exposures or loos of the mesh, central infection and pathologic findings of bone around mesh exception of one patient, who had expired of skull base tumor recurrence. Long-term stability of the reconstructions and the overall functional and aesthetic outcome was excellent. Conclusion: Our experiences demonstrate that the Titanium mesh system is a relatively safe and efficient method in the craniofacial reconstruction and have broadens our choices of therapeutic procedures in the craniomaxillofacial surgery.

키워드

참고문헌

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