title: Reconstruction of midface bone defects with vitallium micromesh.
abstract: Complex midface defects following trauma and tumor resection present a challenging problem for maxillofacial surgeons. Regardless of the cause of these defects, restoration of accurate contour is essential to achieve both proper function and cosmetically acceptable appearance. Traditionally, bone grafts have been the preferred method of reconstruction. We present the first report of the use of Vitallium micromesh in reconstruction of midface bone and cartilaginous defects in 3 patients. In 1 patient, bone loss resulted from trauma; in the other 2, loss was due to tumor resection. In all 3 patients, Vitallium micromesh was used successfully as a replacement for the bony skeleton without morbidity or complications. Use of this material is contingent on its rigid fixation. We do not recommend use of this technique in the absence of rigid fixation.
authors.affiliation: Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536.
authors.forename: M
authors.initials: M
authors.lastname: Sengezer
authors.forename: R C
authors.initials: RC
authors.lastname: Sadove
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005147:Facial Bones / Q000293:injuries / Q000601:surgery*; D005260:Female; D005626:Frontal Sinus / Q000293:injuries / Q000601:surgery; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000293:injuries / Q000601:surgery; D008446:Maxillofacial Injuries / Q000601:surgery; D009669:Nose Neoplasms / Q000601:surgery; D009917:Orbital Fractures / Q000601:surgery; D009918:Orbital Neoplasms / Q000601:surgery; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods; D012888:Skull Neoplasms / Q000601:surgery; D013518:Surgery, Plastic / Q000379:methods*; D013526:Surgical Mesh; D014800:Vitallium
chemical_list: D014800:Vitallium