Midface reconstruction with titanium mesh and hydroxyapatite cement: a case report

Reconstruction of the midface following trauma generally involves the simple assemblage of the existing bony fragments with the usage of miniplate osteosynthesis. Fractures of the maxilla are of significant functional as well as aesthetic importance. Occasionally, reestablishment of the bony structure is not possible without the concomitant use of bone grafts to replace areas where bone loss is present due to extensive comminution. Calvarial bone grafts are often used; however, they are not ideal, due to donor site morbidity, resorption, and difficulty in contouring the grafts to the curves of the face. This article will review a case of severe midfacial trauma in which a significant portion of the comminuted midface was successfully reconstructed with titanium mesh and hydroxyapatite cement.