自体移植物与钛网联合修复由黏液囊肿引起的巨大额缺损1例

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2023-09-01 DOI:10.1016/j.omsc.2023.100328

Dini Widiarni Widodo , Febriani Endiyarti , Amanda Siagian , Respati W. Ranakusuma , Mirta Hediyati Reksodiputro

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引用次数: 0

摘要

额部畸形的重建对外科医生来说是一个挑战，寻找能够提供更舒适和最佳结果的材料和技术是一个重要问题。本报告描述了用钛网和肋骨软骨重建一个由粘液囊肿引起的大额部缺损。一例44岁女性左侧额叶筛肿块，怀疑有粘液囊肿伴额叶缺损和视神经压迫。患者接受了引流，内镜下粘液囊肿有袋化术，并使用肋骨移植物和钛网联合重建额部缺损。在一年的随访中，患者没有出现并发症或功能或审美问题。自体骨软骨具有很大的生长潜力，当与天然骨结合时，其功能最好，表明移植物丢失的风险降低。钛是一种无炎症、生物相容性好的金属，有助于快速修复大的颅骨缺损。在本病例中，额部缺损很大。因此，我们决定使用肋骨移植物结合钛网作为桥梁来关闭缺陷。结论自体肋片联合钛网修复额部缺损效果良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Reconstruction of a huge frontal defect caused by a mucocele with a combination of autologous graft and titanium mesh: A case report

Introduction

Reconstruction of frontal deformities is challenging for surgeons, with the search for materials and techniques that offer a more comfortable and optimal result being a significant issue. This report describes the reconstruction of a large frontal defect caused by a mucocele using a titanium mesh and rib cartilage.

Case

A 44-year-old female with a left frontal ethmoid mass was suspected of having a mucocele with a frontal defect and optic nerve compression. The patient underwent drainage, endoscopic marsupialization of the mucocele, and reconstruction of the frontal defect using a combination of a rib graft and titanium mesh. The patient showed no complications or functional or esthetic complaints over one year of follow-up.

Discussion

Autologous bony cartilage has great growth potential and functions best when integrated into the natural bone, indicating a reduced risk of graft loss. Titanium is a non-inflammatory, biocompatible metal that is helpful for the quick repair of large cranial defects. In the present case, the frontal defect was large. Therefore, we decided to use a rib graft combined with a titanium mesh as a bridge to close the defect.

Conclusion

Reconstruction of a frontal defect using a combination of autologous rib grafts and titanium mesh showed excellent results in the current case.

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.