Open AccessReconstruction of extensive sequel of frontal fracture: optimizing results
Author(s) -
Émerson Filipe de Carvalho Nogueira,
Rosa Rayanne Lins de Souza,
Ladyanne Pavão de Menezes,
Pedro Henrique de Souza Lopes,
Ozawa Brasil Júnior,
Ricardo José de Holanda Vasconcellos
Publication year - 2021
Publication title -
brazilian dental science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.153
H-Index - 6
ISSN - 2178-6011
DOI - 10.14295/bds.2021.v24i4.2587
Subject(s) - frontal bone , medicine , coronal plane , fixation (population genetics) , orthodontics , facial bone , psychosocial , facial trauma , dentistry , surgery , radiology , skull , psychiatry , population , environmental health
Fractures of the frontal bone correspond to 5 to 15% of all facial fractures. This type of fracture can lead to difficulties in restoring bone congruence and to postoperative secondary aesthetic problems. Objective: This paper aims to present a clinical case report of frontal bone fracture where a late reconstruction was performed using a titanium mesh with the aid of stereolithographic model prototyping. Case report: Female patient, 26 years old, with aesthetic sequelae in the upper third of the face after a motorcycle accident. The imaging exams showed a comminuted frontal bone fracture, as well as upper edge and right orbit ceiling involvement. The planning consisted of reconstruction of the affected area with the use of a titanium mesh pre-shaped in a stereolithographic model. The procedure was performed under general anesthesia and coronal access. After installation of the fixation material, pericranial flap rotation and suture of the surgical wound were performed. The patient progressed well, with considerable improvement in facial aesthetics. Conclusion: This paper reports the importance of good planning in cases of frontal bone fracture sequel, in which the use of model-shaped mesh in a stereolithographic model tends to optimize surgery, bringing aesthetic and psychosocial benefits. KeywordsFrontal bone; Titanium; Craniocerebral trauma.