Efficacy of Titanium Mesh Osteosynthesis in Maxillofacial Fractures
- 107 Downloads
Trauma is steadily increasing in the modern world and thus becoming a major public problem. Maxillofacial injuries constitute a substantial proportion of cases of trauma and occur in a variety of situations like road traffic accidents, interpersonal violence, falls or as a result of contact sports. The aim of this prospective study was to evaluate the efficacy of titanium mesh for osteosynthesis of maxillofacial fractures.
Materials and Methods
Fifteen patients of maxillofacial fractures who were treated with titanium mesh were included in this prospective study. The patients were evaluated preoperatively, intraoperatively and postoperatively at 7th day, 3rd week, 6th week and 12th week.
The mean age of fifteen patients was 31.3 years with a male:female ratio of 14:1. The most common mode of injury was road traffic accident (86.6%). The mean time interval between injury and surgical procedure was found to be 7.6 days. The majority of fracture sites (88%) were comminuted. 93.3% of the patients achieved good occlusion by 12th week postoperatively. Postoperative complications included residual hypoaesthesia in four patients and wound dehiscence in one patient.
We conclude that titanium mesh is a versatile option for maxillofacial fractures. It provided good stabilization especially in comminuted fractures. As a fixation method, it was quick in placement and highly adaptable, and thus, it proved to be valuable in restoring the form and function in maxillofacial trauma patients.
KeywordsComminuted fractures Facial injuries Semi-rigid fixation Three-dimensional stability
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
This manuscript has been read and approved by all the authors, the requirements for authorship as stated have been met, and each author believes that the manuscript represents honest work.
This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 18.Hsu E, Crombie A, To P, Marquart L, Batstone MD (2012) Manual reduction of mandibular fractures before internal fixation leads to shorter operative duration and equivalent outcomes when compared with reduction with intermaxillary fixation. J Oral Maxillofac Surg 70:1622–1626PubMedCrossRefGoogle Scholar
- 20.Dai J, Shen G, Yuan H, Zhang W, Shen S, Shi J (2016) Titanium mesh shaping and fixation for the treatment of comminuted mandibular fractures. J Oral Maxillofac Surg 74:337.e1-e11Google Scholar
- 22.de Santana Santos T, Frota R, Martins-Filho PR, Vajgel A, de Albuquerque Maranhao-Filho AW, de Oliviera E, Silva ED (2011) Fracture of the coronoid process, sphenoid bone, zygoma, and zygomatic arch after a firearm injury. J Craniofac Surg 22(6):e34–e37Google Scholar