Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Use of resorbable mesh and fibrin glue for restoration in comminuted fracture of anterior maxillary wall

  • Yang, Jae-Hyuk (Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine) ;
  • Chang, Suk Choo (Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine) ;
  • Shin, Jin Yong (Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine) ;
  • Roh, Si-Gyun (Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine) ;
  • Lee, Nae-Ho (Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Chonbuk National University College of Medicine)
  • Received : 2018.06.15
  • Accepted : 2018.08.01
  • Published : 2018.09.20
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Abstract

Background: The facial bone has a complex structure compared to other bones, and various types of fractures can occur due to its characteristics. Among them, in comminuted fractures of anterior maxillary wall, multiple depressed and impacted bony segments cannot be reduced easily when performing internal fixation using plates and screws or wires, and inadequate restoration leads to a range of complications. This paper introduces an alternative technique using a resorbable mesh with fibrin glue to restore comminuted fractures of anterior maxillary wall. Methods: Thirteen patients were diagnosed with comminuted fractures of anterior maxillary wall between March 2017 and February 2018 in the authors' hospital. All patients with comminuted fractures of anterior maxillary wall underwent restoration using resorbable mesh with fibrin glue. The patients' demographics, causes of facial trauma, mean operation time, length of hospital stay, follow-up period, and complications were recorded. Results: No major complications and only one hypoesthesia of the skin area was noted. Three months after surgery, the hypoesthesia recovered completely. After surgery (mean, 3.9 months; range, 2-12 months), computed tomography showed that the bone fragments in all patients were fixed successfully in their anatomical places. Conclusion: In comminuted fractures of anterior maxillary wall, the use of a resorbable mesh with fibrin glue can be an advantageous and effective method for a successful restoration without complications.

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References

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