Use of Prolene Mesh in the Treatment of Traumatic Midface Fractures.

Q3 Dentistry
Sujeeth Kumar Shetty, Suprathima Saritha R, Sathish Radhakrishna
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引用次数: 0

Abstract

Midface fractures constitute a severe medical challenge due to their intricacy, incidence, and socioeconomic implications. The orbit and the maxillary sinus are the most prominent parts of the face and form the most common site of fracture. Reconstruction of these frequently observed fractures is necessary. The uses of polypropylene (prolene) mesh are numerous in general surgery, so its use and effects in the maxillofacial region can be explored. The aim was to evaluate the efficacy of prolene mesh in treating defects in the midface due to trauma, especially the orbital floor and anterior wall of the maxillary sinus. This was an observational study of 15 patients with midface fractures who had undergone reconstruction with prolene mesh for orbital floor and anterior maxillary sinus wall defects. Data collected included gender, age, type of fracture, clinical parameters (e.g., postoperative tenderness at the surgical site, infraorbital paresthesia, diplopia, pus discharge, and extrusion of graft), and radiological assessment for sinus and/or orbital floor continuity and bone formation. Regular follow-ups were done at 1 week and 1, 3, and 6 months. Among the 15 patients studied, all were males with a mean age of 30 years. The clinical assessment revealed positive functional outcomes. Radiographic assessment with postoperative CT scans at 6 months showed sinus wall and/or orbital floor continuity and bone formation. The study concluded that, with proper case selection, prolene mesh is a safe and reliable option in the reconstruction of the anterior maxillary sinus wall and orbital floor.

聚丙烯补片在外伤性面中部骨折治疗中的应用。
由于其复杂性、发生率和社会经济影响,中面部骨折构成了严重的医学挑战。眶部和上颌窦是面部最突出的部位,也是最常见的骨折部位。这些经常观察到的骨折的重建是必要的。聚丙烯(prolene)网片在普通外科中的应用非常广泛,因此可以探讨其在颌面区域的使用和效果。目的是评价聚丙烯补片在眶底及上颌窦前壁外伤所致中脸缺损的治疗效果。这是一项观察性研究,15例中面部骨折患者采用普罗琳网重建眶底和上颌前窦壁缺损。收集的数据包括性别、年龄、骨折类型、临床参数(如手术部位术后压痛、眶下感觉异常、复视、脓渗出和移植物挤压),以及鼻窦和/或眶底连续性和骨形成的影像学评估。随访时间分别为1周、1、3、6个月。研究的15例患者均为男性,平均年龄30岁。临床评估显示积极的功能预后。术后6个月CT扫描的x线评估显示窦壁和/或眶底连续性和骨形成。结果表明,在病例选择适当的情况下,丙烯网是上颌前窦壁和眶底重建的一种安全可靠的选择。
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来源期刊
CiteScore
1.20
自引率
0.00%
发文量
46
期刊介绍: MEDICAL IMPLANTS are being used in every organ of the human body. Ideally, medical implants must have biomechanical properties comparable to those of autogenous tissues without any adverse effects. In each anatomic site, studies of the long-term effects of medical implants must be undertaken to determine accurately the safety and performance of the implants. Today, implant surgery has become an interdisciplinary undertaking involving a number of skilled and gifted specialists. For example, successful cochlear implants will involve audiologists, audiological physicians, speech and language therapists, otolaryngologists, nurses, neuro-otologists, teachers of the deaf, hearing therapists, cochlear implant manufacturers, and others involved with hearing-impaired and deaf individuals.
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