Use of Palacos R-40 with gentamicin to reconstruct temporal defects after maxillofacial reconstructions with temporalis flaps.
The temporalis muscle flap is a useful flap for the reconstruction of oral ablative defects. A complication of its use that was overlooked was the crater-like defect created when the muscle is stripped from its attachment on the temporal fossa. The cold-cure acrylic we use is Palacos R-40 with Gentamicin (Heraeus Kulzer GmbH). This material is radio-opaque, rapidly setting and contains gentamicin. We present a total of 41 cases over an 11-year period (1994-2005). We have a 97.6% (n = 40) success rate. Infection developed in only one case, which leads to the removal of the acrylic implant. The use of Palacos R-40 with Gentamicin is easy to use, it can be custom-moulded to fit and fill the defect any of shape and size. It has minimal complications and high success rate with acceptable results to the patients.
Wright
S
S
Department of Oral & Maxillofacial Surgery, New Cross Hospital, Wolverhampton WV10 0QP, United Kingdom. addenbrookes@hotmail.com
Bekiroglu
F
F
Whear
N M
NM
Grew
N R
NR
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001843:Bone Cements / Q000009:adverse effects / Q000737:chemistry; D003287:Contrast Media / Q000737:chemistry; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D011108:Polymers / Q000737:chemistry; D019904:Polymethyl Methacrylate / Q000009:adverse effects / Q000737:chemistry; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013499:Surface Properties; D013524:Surgical Flaps; D013701:Temporal Bone / Q000473:pathology*; D013703:Temporal Muscle / Q000637:transplantation*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D001843:Bone Cements; D003287:Contrast Media; D005839:Gentamicins; D011108:Polymers; D019904:Polymethyl Methacrylate