Summary
The buttress is the cornerstone of the midface both functionally and aesthetically.
Therefore, fracture of the buttress requires surgery. A patient wanted cosmetic surgery
simultaneously with a reduction of facial bone fracture. To achieve this, we reconstructed
the defect of the maxillary buttress using the remnant bone of the mandible angle
ostectomy.
A 27-year-old man presented with a left maxilla fracture and defect at the maxillary
buttress. Since the patient was considering cosmetic surgery to alter his square face,
we planned a mandibular angle ostectomy and used the remnant bone as an onlay bone
graft for maxillary reconstruction. There was no complication and the patient was
satisfied with both the functional and aesthetical look of the reconstructive surgery.
We reconstructed the defect of the maxillary buttress successfully using the remnant
bone of the mandible angle ostectomy. Although this technique cannot be applied to
every patient, reconstruction of facial bone defects with the remnant bone of the
mandibular angle ostectomy may be a potential option in some cases.
Keywords
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References
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- Myxofibroma of the maxilla. Reconstruction with iliac crest graft and dental implants after tumor resection.Med Oral Patol Oral Cir Bucal. 2011; 16: e532-e536
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Article info
Publication history
Published online: February 27, 2012
Accepted:
January 29,
2012
Received:
January 6,
2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
