Clinical review of 26 patients, restoring and contouring the facial bone lost and symmetry by 4 different types of inert alloplastic material alternative to bone graft surgery

مراجعةسريريةالى 26 مريضا،لاستعادةعظام الوجه باربعةأنواع مختلفةمن موادمصنعةخاملة بدل جراحةالعظام

Abstract

Bone graft surgery is the ideal treatment to restore the aesthetic
contour of the lost bone in facial injuries; it is the treatment of choice.
26 patients being operated at our center, to restore the bones lost
and the facial symmetry by different types of Alloplastic implant, the
Proplast implant which a new modified inert alloplastic implant being
used in 12 patients to construct the zygomatic bone, chin and nasal
bones lost. The patients were in a poor general health and were
medically contraindicated to bone graft surgery or refused such
surgery. Post traumatic condylar hyperplasia is a rare condition
(syndrome), causes facial asymmetry, together with malocclusion of
the teeth. Mandibular osteotomies with bilateral sagittal and oblique
sliding vertical ramus are a comprehensive surgical plan to restore
the facial symmetry and normal occlusion. The Mandibular
osteotomies are the treatment of choice in such cases. A new
modified inert alloplastic acrylic subperiosteal implantsbeen used in 8
patients, to restore the facial symmetry an alternativeto mandibular
osteotomeis, in post traumatic condylar Hyperplasia patients. The
acrylic implantswere used for patients whowere medically
contraindicated to mandibular osteotomies or for patients whom
refused such surgery.

جراحةالعظام هي العلاج المثالي لاستعادة جماليةالوجه في اصابات الوجه. 26 مريض اجريت لهم عمليات جراحية في مركزنا،لاستعادة العظام المفقودة في الوجه باربعة أنواع من الموادالخاملة واجريت عمليات جراحية الى12 مريض لبناءالعظام الوجنية والذقن وعظام الأنف.كمااجريت 14 عملية جراحية بمواداخرىخاملة مختلفة لاستعادة تناسق الوجه. مراجعة سريرية لنجاح وفشل هذه الموادواسبابها