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Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall

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 int...

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Autores principales: Yang, Jae-Hyuk, Chang, Suk Choo, Shin, Jin Yong, Roh, Si-Gyun, Lee, Nae-Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Cleft Palate-Craniofacial Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177669/
https://www.ncbi.nlm.nih.gov/pubmed/30282426
http://dx.doi.org/10.7181/acfs.2018.01942
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author Yang, Jae-Hyuk
Chang, Suk Choo
Shin, Jin Yong
Roh, Si-Gyun
Lee, Nae-Ho
author_facet Yang, Jae-Hyuk
Chang, Suk Choo
Shin, Jin Yong
Roh, Si-Gyun
Lee, Nae-Ho
author_sort Yang, Jae-Hyuk
collection PubMed
description 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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spelling pubmed-61776692018-10-11 Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall Yang, Jae-Hyuk Chang, Suk Choo Shin, Jin Yong Roh, Si-Gyun Lee, Nae-Ho Arch Craniofac Surg Original Article 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. Korean Cleft Palate-Craniofacial Association 2018-09 2018-09-20 /pmc/articles/PMC6177669/ /pubmed/30282426 http://dx.doi.org/10.7181/acfs.2018.01942 Text en Copyright © 2018 The Korean Cleft Palate-Craniofacial Association This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yang, Jae-Hyuk
Chang, Suk Choo
Shin, Jin Yong
Roh, Si-Gyun
Lee, Nae-Ho
Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
title Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
title_full Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
title_fullStr Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
title_full_unstemmed Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
title_short Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
title_sort use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177669/
https://www.ncbi.nlm.nih.gov/pubmed/30282426
http://dx.doi.org/10.7181/acfs.2018.01942
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