J Korean Assoc Oral Maxillofac Surg.  2018 Oct;44(5):207-211. 10.5125/jkaoms.2018.44.5.207.

Complications after craniofacial reconstruction with calcium phosphate cements: a case report and review of the literature

• Pourdanesh F
• Latifi N
• Latifi F

• KMID: 2430580
• DOI: http://doi.org/10.5125/jkaoms.2018.44.5.207

Abstract

Among different graft materials for craniofacial reconstruction, calcium phosphate cements have the advantages of alloplastic grafts and wide use. The authors report a case of foreign body reaction following frontal reconstruction with JectOS (an injectable calcium orthophosphate cement; Kasios) and reviewed the literature on complications of this material after craniofacial reconstruction from 2002 to 2017. Complications were categorized into two groups: immunologic reactions (consisting of seroma collection, chronic sinus mucosa swelling, and foreign body reaction) and non-immune events (infection, fragmentation, and ejection). It is wise to use calcium phosphate-based material only in selected cases with small defects, and long-term follow-up is needed to observe their consequences.

Keyword

Calcium phosphate cements; Craniofacial reconstruction; JectOS; Complication

MeSH Terms

Calcium*
Follow-Up Studies
Foreign Bodies
Foreign-Body Reaction
Mucous Membrane
Phosphates
Seroma
Transplants
Calcium
Phosphates

Figure

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  Fig. 1 Reconstruction of the frontal defect with titanium mesh.

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  Fig. 2 Coverage of the frontal defect and titanium mesh with JectOS (Kasios).

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  Fig. 3 Midfrontal fistula.

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  Fig. 4 Postoperation course after debridement and removal of the reconstructive titanium mesh and JectOS (Kasios).

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