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Titanium mesh in reconstructive surgery of the nasal pyramid. Follow‐up of our 11 initial cases
Author(s) -
OteroRivas María Mercedes,
GonzálezSixto Beatriz,
AlonsoAlonso Teresa,
PérezBustillo Alicia,
ValladaresNarganes Luis Miguel,
RodríguezPrieto Manuel Ángel
Publication year - 2015
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.12971
Subject(s) - medicine , surgery , nose , reconstructive surgery , nasal bone , titanium , surgical mesh , rhinoplasty , plastic surgery , dentistry , hernia , materials science , metallurgy
Abstract Background Titanium mesh has been employed in neurosurgery, plastic surgery, and maxillofacial surgery as a bone replacement in diverse conditions. We first reported on its use as a substitute for osteocartilaginous nasal structure with satisfactory functional and aesthetic results in 2009. Objectives To assess the utility and tolerance of titanium mesh as a substitute of the osteocartilaginous portion of the nose. Materials and Methods Eleven patients were identified who had a nasal reconstruction with titanium mesh. We retrospectively searched for infection, extrusion, nasal valve collapse, second surgery, and patient satisfaction in the patients’ records. All patients presented with various types of non‐melanoma skin cancer in the nasal pyramid. In the reconstruction of full‐thickness nasal defects, local flaps were used, employing titanium mesh as a support structure. Results No mesh extrusions, infections, or collapse of the nasal valve were noted in patients with a mean follow‐up of five years. Only one patient needed a second surgery to debulk the flap. Patient satisfaction achieved a mean score of 7.5 out of 9 in 10 patients. Conclusions As cartilage grafts need a second surgical site, with consequent morbidity, the use of titanium mesh proves useful and safe in the reconstruction of nasal full‐thickness defects. The results of our series of patients demonstrate the suitability of this material in the repair of nasal osteochondral defects, as well as its low rate of complications.