Work

Reconstruction of a huge frontal defect caused by a mucocele with a combination of autologous graft and titanium mesh: A case report

Year: 2023

Type: article

Abstract: Reconstruction of frontal deformities is challenging for surgeons, with the search for materials and techniques that offer a more comfortable and optimal result being a significant issue. This report describes the reconstruction of a large frontal defect caused by a mucocele using a titanium mesh and rib cartilage. A 44-year-old female with a left frontal ethmoid mass was suspected of having a mucocele with a frontal defect and optic nerve compression. The patient underwent drainage, endoscopic marsupialization of the mucocele, and reconstruction of the frontal defect using a combination of a rib graft and titanium mesh. The patient showed no complications or functional or esthetic complaints over one year of follow-up. Autologous bony cartilage has great growth potential and functions best when integrated into the natural bone, indicating a reduced risk of graft loss. Titanium is a non-inflammatory, biocompatible metal that is helpful for the quick repair of large cranial defects. In the present case, the frontal defect was large. Therefore, we decided to use a rib graft combined with a titanium mesh as a bridge to close the defect. Reconstruction of a frontal defect using a combination of autologous rib grafts and titanium mesh showed excellent results in the current case.

Source: Oral and Maxillofacial Surgery Cases

DOI: 10.1016/j.omsc.2023.100328

Authors: Dini Widiarni Widodo, Febriani Endiyarti, Amanda Siagian, Respati W. Ranakusuma, Mirta Hediyati Reksodiputro

Institutions: University of Indonesia, Rumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo

Language: English

Topic: Reconstructive Facial Surgery Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $680