Abstract
Multiply fragmented fractures of the maxillofacial region are difficult to fix with traditional miniplate osteosynthesis because of the extremely small size of fragments, complex three-dimensional anatomy, thin bone unable to hold screws and multidirectional pull of muscles. We intend to present a technical note on a case series of extremely comminuted midfacial fractures reconstructed with stock Titanium mesh, cut to shape and used to mold the small fragmented segments into the shape of the facial bones. Severe fragmentation of midface leads to facial hollowing, tissue prolapse and asymmetry even after major facial buttresses are fixed and reconstructed. Simple stock Titanium mesh can be used to reconstruct these severe fragmentations of thin bones of the midface as shown in the series and avoid late and unsightly complications.
Highlights
A rigid steel mesh was introduced in the early 1960s for use in facial trauma, after which a slightly malleable Vitallium mesh was introduced [1]
The purpose of this article is to present a technical note on a series of cases where titanium mesh was used for the reconstruction of the severely comminuted zygomatic body, zygomaticomaxillary complex, orbital walls and rim, frontal and Nasoorbitoethmoidal (NOE) fractures that were not amenable to normal miniplate fixation techniques and present mediumterm outcomes with the use of titanium mesh
We have presented a technical note with few representative cases where draping and shaping of minute fragment comminution of facial fractures were achieved with Titanium mesh
Summary
Shaping of comminuted midface fractures with stock Titanium mesh: a technical note. Abstract -- Multiply fragmented fractures of the maxillofacial region are difficult to fix with traditional miniplate osteosynthesis because of the extremely small size of fragments, complex three-dimensional anatomy, thin bone unable to hold screws and multidirectional pull of muscles. We intend to present a technical note on a case series of extremely comminuted midfacial fractures reconstructed with stock Titanium mesh, cut to shape and used to mold the small fragmented segments into the shape of the facial bones. Severe fragmentation of midface leads to facial hollowing, tissue prolapse and asymmetry even after major facial buttresses are fixed and reconstructed. Simple stock Titanium mesh can be used to reconstruct these severe fragmentations of thin bones of the midface as shown in the series and avoid late and unsightly complications
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