Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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THE RECONSTRUCTION OF THE MAXILLARY WALL DEFECT USING MICRO-TITANIUM MESH

Micro-titanium mesh를 이용한 상악골 결손부의 재건술에 관한 연구

  • Kim, Seong-Gon (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Choi, You-Sung (Dept. of Oral and Maxillofacial Surgery, College of Medicine, Inje Universtry, Seoul Paik Hospital) ;
  • Choung, Pill-Hoon (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Lee, Hee-Chul (Dept. of Oral and Maxillofacial Surgery, College of Medicine, Inje Universtry, Seoul Paik Hospital)
  • 김성곤 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 최유성 (인제대학교 의과대학부속 서울백병원치과 구강악안면외과) ;
  • 정필훈 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 이희철 (인제대학교 의과대학부속 서울백병원치과 구강악안면외과)
  • Published : 2000.04.30
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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 oroantral 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.

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