J Korean Assoc Oral Maxillofac Surg.  2000 Apr;26(2):197-203.

The Reconstruction of the maxillary wall defect using micro-titanium mesh

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University.
  • 2Department of Oral and Maxillofacial Surgery, College of Medicine, Inje Universtry, Seoul Paik Hospital.

Abstract

Maxillary defect may be induced by trauma, inflammation, cyst, tumor and surgical procedure. In case of limited wall defect, free bone graft has been preferred. But it has some problems such as postoperative bone resorption and soft tissue inclusion to recipient site. And we can not use free bone in the case who has inflammation in the donor site. So we used the micro-titanium mesh as reconstructive material for the maxillary wall defect. We had operated 8 patients who were diagnosed as maxillary partial defects from June 1997 to September 1998 in the Chin-Hae military hospital. They were 1 case of antral wall defect, 1 case of palatal wall defect, 5 cases of infra-orbital wall defects and 1 case of oro-antral fistula case. As a result, the micro-titanium mesh has shown the morphological stability and biocompatibility and it could be used in case who has infection. And mesh structure could prevent soft tissue ingrowth to bony defect area. Thus it can be used to the case of maxillary partial defect successfully.

Keyword

Maxillary defect; Micro-titanium mesh; Reconstruction

MeSH Terms

Bone Resorption
Fistula
Hospitals, Military
Humans
Inflammation
Tissue Donors
Transplants
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