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Related Experiment Video

Updated: May 11, 2026

Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
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Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla

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[Total nasal reconstruction with a titanium miniplate as structural support].

N Lari1, F Salles, G Thiery

  • 1Service de chirurgie maxillofaciale, chirurgie plastique et stomatologie, hôpital Nord, chemin des Bourrely, 13915 Marseille, France.

Revue De Stomatologie, De Chirurgie Maxillo-Faciale Et De Chirurgie Orale
|May 29, 2013
PubMed
Summary

Titanium miniplates offer a viable alternative for total nasal reconstruction, providing comparable functional and aesthetic outcomes to traditional bone grafts. This method simplifies the procedure and reduces donor site morbidity.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Biomaterials in Medicine

Background:

  • The gold standard for total nasal reconstruction involves bone grafts for structural support.
  • This study investigates an alternative approach using a titanium miniplate for structural support.

Observation:

  • Five patients underwent total nasal reconstruction with a 1mm titanium miniplate secured to the frontal bone and anterior maxilla.
  • Fascia lata grafts covered the miniplate in three patients.
  • Functional and aesthetic outcomes were assessed by patients and surgeons at 1 month and 3 years.

Findings:

  • Functional results averaged 2.2/3 at 1 month and 2.4/3 at 3 years.
  • Aesthetic results showed improvement from 1 month to 3 years, with patient scores higher than medical team scores.

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Last Updated: May 11, 2026

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  • Minor complications included miniplate exposure in two cases not covered by fascia lata, which were resolved surgically.

    • Implications:

    • Titanium miniplates provide stable, long-term structural support for total nasal reconstruction.
    • This technique avoids the need for osseous donor sites, simplifying the procedure.
    • The titanium miniplate method presents a cost-effective alternative with functional and aesthetic results comparable to bone grafts.