2011, Number 2
<< Back Next >>
Rev Cubana Estomatol 2011; 48 (2)
The polymethylmethacrylate in the craniofacial repair
Peñón VPA, Casanova DCP, Guerra CO
Language: Spanish
References: 33
Page: 136-146
PDF size: 161.33 Kb.
ABSTRACT
The repair of craniofacial defects is a challenge for the maxillofacial surgeon. There
are a great range of materials for reconstruction, where each has advantages and
disadvantages as well as indications for its use. Polymethylmethacrylate is an
economic and effective option in the reconstruction of craniofacial defects. The
objective of present paper is to conduct a non-comparative, retrospective and
descriptive study in the Maxillofacial Surgery Service of the "Miguel Enriquez"
University Hospital from January, 2006 to December, 2008 including a total of 14
patients operated on to repair a craniofacial defect using polymethylmethacrylate.
The great number of patients operated on to repair a craniofacial defect using
polymethylmethacrylate included the 16-25 age groups. There was predominance
of male sex and a great involvement in white patients. In all the study cases the
deformity origin was of traumatic origin; where the traffic accidents were the more
prevalent ones, followed by those caused by violence. The predominant diagnosis
was that of the IV grade orbitomalar fractures being the orbital floor the more
repaired structure. The only complications present were the infection and the
subcutaneous collection. The polymethylmethacrylate is an economic and effective
material allowing obtaining of excellent esthetic and functional results in the repair
of acquired craniofacial defects.
REFERENCES
Soto S, Texis M. Injertos óseos: una alternativa efectiva y actual para la reconstrucción del complejo cráneofacial. Rev Cubana Estomatol. 2005;42(1).
Artico M, Ferrante I, Pastore FS, Ramundo EO, Cantarelli D, Scopelliti D, et al. Bone autografting of the calvaria and craneofacial skeleton: historical background, surgical results in a series of 15 patients, and review of the literature. Surg neurol. 2003;60:71-9.
Spaho N, Hasdeu S, Kitroser M. Craneoplastias. Presentación de una serie de casos. Rev Argent Neuroc. 2005;19:185-8.
Sanan A, Haines S. Repairing holes in the head: a history of cranioplasty. Neurroosurgery. 1997;40:588-603.
Roa TT. Materiales inertes. En Coiffman F. Texto de Cirugía Plástica, Reconstructiva y Estética. Barcelona: Salvat Editores. 1986;1:805-8.
Iwama T, Yamada J, Imai Shinoda J, Funakoshi S. The use of frozen autogenous bone flaps in delayed cranioplasty revisited. Neurosurgery. 2003;52:591-6.
Vila Morales D, Leyva Mastrapa T, Alonso Fernández L. Aportes y modificaciones de técnicas quirúrgicas en cirugía craneofacial pediátrica. Revista Cubana Estomatol. 2010;47(3).
Picco MI, López M, Lara E. Reconstrucción de hueso malar mediante injerto de calota. Revista Asociación Dental Mexicana. 1999;44(2):76-9.
Gosain AK, Chim H, Arneja JS. Application-specific selection of biomaterials for pediatric craniofacial reconstruction: developing a rational approach to guide clinical use. Plast Reconstr Surg. 2009;123(1):319-30.
Chim H, Gosain AK. Biomaterials in craniofacial surgery: experimental studies and clinical application. J Craniofac Surg. 2009;20(1):29-33.
Eppley L, Barry MD, Prevel C. Nonmetalic fixation in traumatic midfacial fractures. The Journal of Craniofacial Surgery. 1997;8(2):103-9.
Greenberg BM, Scheneider SJ. Alloplastic reconstruction of large cranio-orbital defects: a comparative evaluation. Ann Plast Surg. 2005;55:43-51.
Chiarini L, Figurelli S, Pollastri G. Cranioplasty using acrylic material: a new technical procedure. J Craniomaxilofac Surg. 2004;32:5-9.
Wolfe SA. Frontal cranioplasty: risk factors and choice of cranial vault reconstructive material. Plast Reconstr Surg. 1986;77:901.
Taub PJ, Rudkin GH, Clearihue WJ, Miller TA. Prefabricated alloplastic implants for cranial defects. Plast reconstr Surg. 2003;111:1233-40.
Janecka IP. New recostructive technologies in skull base surgery: role of titanium mesh and porous polyethylene. Arch Otolaryngol Head Neck Surg. 2000;126:396-401.
Gosain AK, Riordan PA, Song L, Amarante MT, Kalantarian B, Nagy PG, et al. A 1-year study of hydroxyapatite-derived biomaterials in an adult sheep model: III. Comparison with autogenous bone graft for facial augmentation. Plast Reconstr Surg 2005;116(4):1044-52.
Gosain AK, Persing JA. Biomaterials in the face: benefits and risks. J Craniofac Surg. 1999;10:404.
Groth MJ, Bhatnagar A, Clearihue WJ. Long-term efficacy of biomodeled polymethyl methacrylate implants for orbitofacial defects. Arch Facial Plast Surg. 2006;8(6):381-9.
Steinhauser EW, Hardt N. Secondary reconstruction of cranial defects. J Maxilofac Surg. 1977;5:192-8.
Bos R, Busscher HJ. Biomateriales en cirugía cráneomaxilofacial. En: Ward P, Eppley BL, Schmelzeisen R. Traumatismos maxilofaciales y reconstrucción facial estética. Madrid: Elsevier. 2005;30:579-88.
Manson PN, Crawley WA, Hoopes JE. Frontal cranioplasty: risk factors and choice of cranial vault reconstructive material. Plast Reconstr Surg. 1986;77:888.
Bryan R, Dierks E, Brar P. A protocol for the management of frontal sinus fractures emphasizing sinus preservation. Journal of Oral and Maxillofacial Surgery. 2007;65(5):825-39.
Haug RH, Van Sickels JE, Jenkins WS. Demographics and treatment options for orbital roof fractures. Oral Surg. 2002;93:238-46.
Shere JL, Boolee JR, Holtel MR, Amoroso PJ. An analysis of 3599 midfacial and 1141 orbital blowout fractures among 4426 United States army soldiers, 1980- 2000. Otolaryngol Head Neck Surg. 2004;164-70.
Dietz A, Ziegler CM, Dacho A, Althof F. Effectiveness of a new perforated 0.15 mm poly-p-dioxanon-foil versus titanium-dinamic mesh in reconstruction of the orbital floor. J Craniomaxillofac surg. 2001;29:82-8.
Potter JK, Ellis E. Biomaterials for reconstruction of the internal orbit. J Oral Maxillofac Surg. 2004;62:1280-97.
Bell RB, Kindsfater CS. The use of biodegradable plates and screws to stabilize facial fractures. J Oral Maxillofac Surg. 2006;64:31-9.
Luparello D, Bruschi S, Verna G. Cranioplasty with polymethylmethacrylate: the clinico-statistical considerations. Minerva Chir. 1998;53:575-9.
Mathog RN. Atlas of craneofacial trauma. Baltimore: WD Saunders; 1992. p. 287-302.
Jordan DR, Onge PS, Anderson RL, Patrinely JR, Nerad JA. Complications associated with alloplastic implants used in orbital fracture repair. Ophthalmology. 1992;99:1600-8.
Mauriello JA, Hargrave S, Yee S, Mostafavi R, Kapila R. Infection after insertion of alloplastic orbital floor implants. Am J Ophthalmol. 1994;117(2):246-52.
Ellis E, Tan Y. Assessment of internal orbital reconstructions for pure blowout fractures: cranial bone grafts versus titanium mesh. J Oral Maxillofac Surg. 2003;61:442-53.