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Use of rapidly hardening hydroxyapatite cement for facial contouring surgery

Authors
 Dong Won Lee  ;  Ji Ye Kim  ;  Dae Hyun Lew 
Citation
 JOURNAL OF CRANIOFACIAL SURGERY, Vol.21(4) : 1084-1088, 2010 
Journal Title
JOURNAL OF CRANIOFACIAL SURGERY
ISSN
 1049-2275 
Issue Date
2010
MeSH
Adolescent ; Adult ; Bone Cements/therapeutic use* ; Bone Substitutes/therapeutic use* ; Child ; Craniofacial Abnormalities/diagnostic imaging ; Craniofacial Abnormalities/surgery* ; Esthetics ; Facial Bones/diagnostic imaging ; Facial Bones/surgery* ; Female ; Humans ; Hydroxyapatites/therapeutic use* ; Imaging, Three-Dimensional ; Male ; Middle Aged ; Reconstructive Surgical Procedures/methods ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome
Keywords
Hydroxyapatite cement ; rapid hardening ; facial contour ; augmentation
Abstract
Hydroxyapatite cement is an ideal alloplastic material to replace the autogenous bone grafts in craniofacial surgery. Hydroxyapatite cement is advantageous because it can be easily molded by hand unlike other alloplastic materials such as silicone and high-density polyethylene. For aesthetic applications of hydroxyapatite cement, we evaluated the efficacy and safety of the rapidly hardening hydroxyapatite cement used in facial contour augmentation, especially for the forehead and the malar area. A total of 18 cases of facial skeleton augmentation or contouring surgery using rapidly hardening hydroxyapatite cement (Mimix; Biomet, Warsaw, IN) were examined, and the long-term cosmetic results and any complications were also analyzed. The aims of facial contouring surgeries were to correct the following conditions: hemifacial microsomia, craniosynostosis, posttraumatic facial deformity, deformity after tumor resection, dentofacial deformity, and Romberg disease. The application sites of hydroxyapatite cement were the forehead, malar area, chin, and paranasal area. A mean of 16 g (range, 5-50 g) of the hydroxyapatite cement was used. Postoperative infection, seroma, and migration of the implant were not observed during the follow-up period of 23 months. Rapidly hardening hydroxyapatite cement, Mimix, is easy to manipulate, promptly sclerotized, and can be replaced by living bone tissue, with a low complication rate. Therefore, it can be an optimal treatment that can be used instead of other conventional types of alloplastic materials used in facial contouring surgery.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00001665-201007000-00032&LSLINK=80&D=ovft
DOI
10.1097/SCS.0b013e3181e1b64b
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Lew, Dae Hyun(유대현)
Lee, Dong Won(이동원) ORCID logo https://orcid.org/0000-0003-0046-3139
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103221
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