Abstract

FLORES-LIMA, G.  and  LOVO IGLESIAS, E.. Complex craneofacial reconstruction: titanium mesh, autologous bone preserved in ethylene oxide and tridimensional polimetilmetacrilate implants (HTR-PMI). Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.1, pp.31-36. ISSN 1989-2055.

The evolution of craniofacial surgery began with Jean Paul Tessier, who in 1967 supported the use of fresh autologous bone to cover bone defects in the craniofacial area. Recently different types of reconstructions using autologous bone preserved in ethylene oxide and advanced custom-made polimetacrilate implants that have allowed more complex and esthetically rewarding procedures to patients have suffered extensive bone loss in the craniofacial area. We report our initial experience using these techniques with a retrospective analysis of 21 patients operated from January 2007 to March 2009 by a multidisciplinary team in the Hospital Militar, Centro Panamericano de Ojos and Hospital de Diagnóstico of El Salvador, who required complex craneofacial reconstruction using one or more techniques to cover the defects. The reconstructed areas have been cranium, orbital roof and floor as well as cigomatic region, anterior cranium fossa and superior maxillary sinuous. No infections or retrieval of material for reconstruction or fistulas were reported and only one post-traumatic ulcer that resolved in a conservative way. The esthetic results in the patients operated have been considered acceptable, to excellent. As a conclusions, multidisciplinary team, combination of surgical techniques and the acquisition of advanced prosthesis material for craniofacial reconstructions has resulted in a significant advance from the functional and aesthetic point of view in areas that involve this anatomically complex area.

Keywords : Craniofacial trauma; Craneocerebral; Titanium; Ethylene oxide; Polyhydroxyethylmethacrylate.

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