Efficacy of Polyproplyene mesh (Prolene) in Traumatic Midfacial Defects

A number of alloplastic materials have been proposed suitable for grafts in reconstruction of the midface such as methyl methacrylate, hydroxyapatite, teflon, titanium, and polyethylene. Undyed polypropylene surgical mesh (prolene mesh) appears to be another option for traumatic midfacial defects. T...

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Bibliographic Details
Published in:Journal of international oral health 2015-12, Vol.7 (12), p.72
Main Authors: Bangennavar, Bheeemappa F, Sikkerimath, B C, Hallur, Neelkamal, Gudi, S S, Dandagi, Satyajit, Saraf, Suma P
Format: Article
Language:English
Subjects:
Biomedical materials
Defects
Fractures
Hydroxyapatite
Infections
Patients
Porous materials
Sinuses
Surgical techniques
Transplants & implants
Trauma
Veins & arteries
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Summary:A number of alloplastic materials have been proposed suitable for grafts in reconstruction of the midface such as methyl methacrylate, hydroxyapatite, teflon, titanium, and polyethylene. Undyed polypropylene surgical mesh (prolene mesh) appears to be another option for traumatic midfacial defects. The main objective of this study was to post-operatively assess the "usefulness and effectiveness of prolene mesh used for reconstruction of the traumatic midfacial defects." A 10 patients with age ranging from 22 to 40 years with traumatic midfacial defects were included in the study. An undyed monofilament polypropylene non-absorbable surgical mesh was contoured using surgical scissors. The surgical access to the midface was achieved via standard approaches, the mesh was placed on the defect and was stabilized with 1.5 mm titanium screws. All the patients were post-operatively assessed for the biocompatibility and versatility of prolene mesh. Average follow-up period ranged from 3 to 4 years. Factors evaluated both clinically and radiographically were infection and extrusion of the graft. No complications were recorded in patients that underwent reconstruction of the floor of the orbit. Out of 10 cases of anterior sinus wall defects reconstructed with prolene mesh, three cases had signs of infection after 1st and 3rd months, respectively. They were managed with oral antibiotics for a period of 1-week. One patient did not respond to antibiotic regime, and the graft was removed under local anesthesia. We conclude that prolene mesh can be effectively used after proper case selection and surgical technique for reconstruction of the traumatic midfacial defects.
ISSN:0976-7428
0976-1799