An Overview of Correction of Contour Deformity of Frontal Bone Using Autologous Tissues
- 1. Additional Professor, Department of Plastic Surgery, TNMC BYL Nair Ch Hospital
- 2. Senior Resident, Department of Plastic Surgery, TNMC BYL Nair Ch Hospital
Description
Background: Frontal bone fractures are relatively rare, comprising just around 5% of all maxillofacial injuries. These fractures cause bone deformity which hampers facial aesthetics significantly. These are caused by high velocity, high energy impacts. Wide variety of materials is being used for reconstructing the contour deformities such as porous polyethylene implants, titanium mesh, various autologous materials. Not many studies are available in the literature regarding use of autologous material in frontal bone contouring. This study emphasises the importance of the same. Aims and Objectives: To study various autologous options used for contour deformity correction. Materials and Methods: The study was conducted in the Department of Plastic Surgery at TNMC BYL Nair Ch. Hospital. The clinical series comprises 14 consecutive patients selected by inclusion and exclusion criteria. All patients underwent reconstruction using autologous tissue. Evaluation of the same has been done in this study. Results: All the patients were males with an average age of 30.5 years. 28.5 % of the deformities were caused due to accidental fall, and rest 71.5% were due to road traffic accidents. In 4 patients immediate correction was done and in 10 patients delayed correction was done. Average time duration was 7 months. In six (42.85%) patients a coronal incision was used to explore the defect whereas in eight (57.14%) patients old scars were used to approach the defect. In 50% cases cartilage was used, 28.57% cases bone was used and fat 14.28% and fascia 7.14%. Out of the 14 cases, 1 patient developed cartilage resorption and 1 patient had fat necrosis. Both these complications were managed with minor procedures on OPD basis. Rest of the patients had acceptable contour with good patient satisfaction. Conclusion: With various treatment options available autologous tissue gave results which were simple, durable, cost effective and have low risk.
Abstract (English)
Background: Frontal bone fractures are relatively rare, comprising just around 5% of all maxillofacial injuries. These fractures cause bone deformity which hampers facial aesthetics significantly. These are caused by high velocity, high energy impacts. Wide variety of materials is being used for reconstructing the contour deformities such as porous polyethylene implants, titanium mesh, various autologous materials. Not many studies are available in the literature regarding use of autologous material in frontal bone contouring. This study emphasises the importance of the same. Aims and Objectives: To study various autologous options used for contour deformity correction. Materials and Methods: The study was conducted in the Department of Plastic Surgery at TNMC BYL Nair Ch. Hospital. The clinical series comprises 14 consecutive patients selected by inclusion and exclusion criteria. All patients underwent reconstruction using autologous tissue. Evaluation of the same has been done in this study. Results: All the patients were males with an average age of 30.5 years. 28.5 % of the deformities were caused due to accidental fall, and rest 71.5% were due to road traffic accidents. In 4 patients immediate correction was done and in 10 patients delayed correction was done. Average time duration was 7 months. In six (42.85%) patients a coronal incision was used to explore the defect whereas in eight (57.14%) patients old scars were used to approach the defect. In 50% cases cartilage was used, 28.57% cases bone was used and fat 14.28% and fascia 7.14%. Out of the 14 cases, 1 patient developed cartilage resorption and 1 patient had fat necrosis. Both these complications were managed with minor procedures on OPD basis. Rest of the patients had acceptable contour with good patient satisfaction. Conclusion: With various treatment options available autologous tissue gave results which were simple, durable, cost effective and have low risk.
Files
IJPCR,Vol15,Issue9,Article261.pdf
Files
(9.6 MB)
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Additional details
Dates
- Accepted
-
2023-09-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue9,Article261.pdf
- Development Status
- Active
References
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