Maldonado RR, Lucio LE, Gama HJA, Uribe RA, Becerril LAE

Language: Spanish
References: 7
Page: 20-25
PDF size: 226.94 Kb.

ABSTRACT

Male of 36 years old, arrive at 2:35 hours, to General Hospital «XOCO», he suffer automotive vehicle crashing type frontal. The vital signs at arrive found TA 100/60, FC 100x’, FR 38x’, Scale Coma Glasgow 8. The management in emergency consisted in support ventilatory mechanic and vigilance hemodynamic, the patient is valuated for general surgery, neurosurgery, reconstructive plastic surgery (RPS), and orthopedics, with diagnosis of brain trauma severe, sniked fracture frontal left, subarachnoid hemorrhage, blunt trauma abdominal simple, fracture Lefort II, III, IV, breack out of ocular globe, middle fracture diaphysiary of left forearm, tibia fracture and left perone. In operating room is management with esquirlectomy and repair of duramadre, enucleation of right eye. After 17 days RPS confirm fracture Lefort IV, with esterolitography and imagenology, their repair the anterofrontal floor using mesh of titanium and craneoplast. The prognosis was well for life and function.

REFERENCES

1. Kuttenberger JJ. Long-term results following reconstruction of craniofacial defects with titanium micro-mesh systems Journal of Cranio-Maxillofacial Surgery 2001; 29: 75-81.

2. Eurnger H, Wehmoeller M. Individual prefabricated titanium implants in reconstructive craniofacial surgery: Clinical and technical aspects of the first 22 cases. Plast Reconstr Surg 1998; 192: 300-308.

3. Heissler E, Fischer FS, Bolouri S et al. Custom-made cast titanium implants produced with CAD/CAM for the reconstruction of cranium defects. Int J Oral Maxillofac Surg 1998; 27: 334-338.

4. Kuttenberger JJ, Hardt N, Kessler P. Results after reconstruction of craniofacial defects with micro-titanium augmentation mesh and dynamic mesh (abstract). J Cranio-Max-Fac Surg 1996; 24 (Suppl. 1): 66.

5. Stringer DE, Boyne PJ. Modification of the maxillary step osteotomy and stabilization with titanium mesh. J Oral Maxillofac Surg 1986; 44: 487-488.

6. White RJ, Yashon D, Albin MS, Wilson D. Delayed acrylic reconstruction of the skull in craniocerebral trauma. J Trauma 1970; 10: 780-786.

7. Zallen RD, Fitzgerald BE. Treatment of mandibular fractures with use of malleable titanium mesh: report of 56 cases. J Oral Surg 1976; 34: 748-754.