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Correction of mandibular asymmetry using angled titanium mesh.

Dale Stringer1, Brandon Brown

  • 1Loma Linda University Medical Center, Loma Linda, CA, USA.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|July 21, 2009
PubMed
Summary

Angled titanium mesh successfully corrected mandibular facial asymmetry in 5 patients. This surgical technique, combined with orthognathic surgery, offered satisfactory aesthetic outcomes without complications.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Biomaterials Engineering

Background:

  • Facial asymmetry involving the mandible presents significant aesthetic and functional challenges.
  • Current surgical techniques aim to restore facial symmetry and improve quality of life.

Observation:

  • This study evaluated a novel technique using angled titanium mesh for mandibular augmentation.
  • The mesh was applied in a subperiosteal fashion and secured with monocortical screws.
  • The procedure was performed in conjunction with orthognathic surgery for five patients with congenital defects or trauma-induced asymmetry.

Findings:

  • All five patients achieved successful correction of mandibular asymmetry.
  • No instances of implant infection, migration, or exposure were reported.

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  • Both patients and clinicians reported high satisfaction with the aesthetic results.

    • Implications:

    • Angled titanium mesh is a viable and safe option for correcting mandibular asymmetry.
    • This technique offers a predictable method for improving facial aesthetics in reconstructive surgery.
    • Further research can explore long-term outcomes and broader applications of this biomaterial.