Diversity of Modalities for Correction of Craniofacial Contour
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2017, Vol 3, Issue 4
Abstract
Introduction: Craniofacial skeleton deformities or defects can be corrected and managed by different methods and techniques for aiming of aesthetics and functional contour correction. Skeleton contour hypoplasia or defects are better corrected by using similar tissues; bones, cartilage, or bone substitutes, also can be using alloplastic materials(Medpore), Titanium mesh, reconstructive plates. This has an advantage over using soft tissues to contour these deformities and donner site morbidities. This article aims to evaluate correction of craniofacial skeleton contour defects using different types of autogenous and allografts. Methods: Twenty-seven patients were included this study. They complained of different types of craniofacial acquired (17 patients) and congenital deformities (10 patients). Ten patients (6 congenital and 4 acquired defects) operated by using of alloplastic materials group A and 17 patients (3 congenital and 14 acquired)operated by using autogenous grafts group B. all grafts were applied sub-periosteal and fixed in place for all patients. Required contour was achieved in all patients. Results: All procedures were performed successfully and yielded highly satisfactory results producing the desired harmony cranial and facial contours. The application of these concepts has been effective, with low morbidity, in both groups. No implants extruded or migrated was detected in group (A). Partial exposure of alloplastic martial had detected in one patient (10 percent), early postoperative infections in one patient (10 percent) and contoured irregularity was detected in one patient (10 percent). There were no late infections. In group (B), partial grafts resorption was noticed in 4 patients (23.5 percent), donner site morbidity was detected in 3 patients (17.6 percent) and no infection or graft exposures were detected in this group. Conclusion: Alloplastic and autogenous augmentation of the craniofacial skeleton can be a useful adjunct or an alternative to osteotomies and orthognathic surgical procedures in situations when the occlusion is normal or has been corrected. Implants can improve contour irregularities left after skeletal movements or defects after trauma or tumor excision and can simulate the visual effect of skeletal movements. One surgical procedure is may not suitable for the improvement of craniofacial contour in all cases of asymmetry. Different procedures and combinations should be integrated to attain an optimal outcome. When patients are both skeletal and soft-tissue deficient, the use of both modalities can optimize the result.
Authors and Affiliations
Ahmed Taha Sayed, MD*Abdelaziz Kamal Saad, MD Abdel-Fattah Elshiekh, MD.
Keywords
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- EP ID EP568393
- DOI 10.22192/ijcrms.2017.03.04.018
- Views 109
- Downloads 0
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