Fronto-naso-orbital Reconstructions

Annals of Plastic Surgery
Shih-Heng ChenYueh-Bih Tang

Abstract

Significant defects at the fronto-naso-orbital area always present with severe facial disfigurement for the afflicted individuals. It may occur after tumor ablations, compound comminuted fractures, or craniofacial surgeries at this area. Reconstructions of 11 patients with this problem had been performed by the authors, with follow-up for 3 to 25 years. The modes of reconstruction involved carved cartilage block with fascia grafts in 3 patients, split calvarial bone grafting covered with fascia grafts in 2 patients, drilled bone chips harvested from outer table of calvarial bone encased with fascia for smaller defects in 2 patients, 3-dimensional computed tomographic reconstruction and reformation of replica to replace the destroyed framework in 4 patients. Patients in this series all achieved good results, with symmetric face, acceptable facial contour, and being willing to attend social activities with deliberate evaluation and planning, selection of proper method, with proficient skills in reconstruction. One patient who received cartilage block grafting came back for refining facial contour 18 years later. Midline fronto-naso-orbital defects could be reconstructed with carved cartilage graft or bone graft, overlaid with fas...Continue Reading

References

Jul 1, 1983·The Journal of Prosthetic Dentistry·H A HanssonP I Brånemark
Dec 1, 1981·Annals of Plastic Surgery·R C Schultz
Sep 23, 2003·Current Opinion in Ophthalmology·Michael A Burnstine
Mar 20, 2008·Plastic and Reconstructive Surgery·Yoav KaufmanLarry Hollier
Jul 16, 2010·Current Opinion in Otolaryngology & Head and Neck Surgery·Chien-Tzung Chen, Yu-Ray Chen
Dec 21, 2010·Oral and Maxillofacial Surgery Clinics of North America·Simon Holmes
Feb 21, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Dharmindra Rajah Gunarajah, Nabil Samman
Mar 21, 2013·Oral and Maxillofacial Surgery Clinics of North America·John A Long, Rajesh Gutta

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