Facial contour corrections with calcium hydroxyapatite granules and

Slides: 24

Download presentation

Facial contour corrections with calcium hydroxyapatite granules and fibrin sealant Maurice Mommaerts President European Association for Cranio-Maxillo-Facial Surgery Bruges, Belgium 7 th Asian Pacific Craniofacial conference, Taipeh, Taiwan

LOGO Issues v Contour irregularities in corrective osteotomies In chin osteotomy In sagittal split osteotomy for mandibular advancement in skinny ladies v Post trauma & congenital defects Orbital region Temporal areas Localized midfacial deficiency in clefts and craniofacial syndromes v Residual asymmetries uncorrectable with osteotomies Mandibular border & lateral surface Your site here

LOGO 2003 -2008 caseload of 48 patients Your site here

LOGO Combination Bone paste Human cancellous bone Hydroxyapatite Pro Osteon (Interpore Cross) Pro Osteon Implant 500 Blood clot Fibrin glue Tisseel/Tissucol Tisseel clot Your site here

LOGO Sealant Fibrin sealant (FS) Purified fibrinogen (a protein) Purified thrombin (an enzyme) derived from human blood Human blood factor XIII Aprotinin, derived from cows' lungs Factor XIII strengthens blood clots by forming cross-links between strands of fibrin Aprotinin is a protein that inhibits the enzymes that break down blood clots Your site here

LOGO Sealant Fibrin sealant (FS) Hemostasis Sealing Closing effect As of 2003, all fibrin sealants used are made from blood plasma taken from carefully screened donors and rigorously tested to eliminate hepatitis viruses, HIV-1, and parvovirus. Your site here

LOGO Calcium hydroxylapatite Granules (HA) A mineral Naturally occurring form of calcium apatite Ca 5(PO 4)3(OH 70% of bone is made up of HA Ability to integrate in bone structures & support bone ingrowth, without breaking down or dissolving (i. e it is bioactive) Your site here

LOGO Application mode 1 Your site here

LOGO Application mode 2 Your site here

LOGO Chin osteotomy - anterior step text 2 Your site here

LOGO 1 day postop Your site here

LOGO Chin osteotomy - lateral step + autologous bone from chin ostectomy Your site here

LOGO ½ y after correction of open bite and heavy chin Your site here