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Facial contour corrections with calcium hydroxyapatite granules and fibrin sealant Maurice Mommaerts President European Association for Cranio-Maxillo-Facial.

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Presentation on theme: "Facial contour corrections with calcium hydroxyapatite granules and fibrin sealant Maurice Mommaerts President European Association for Cranio-Maxillo-Facial."— Presentation transcript:

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

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

3 caseload of 48 patients

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

5 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

6 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.

7 Calcium hydroxylapatite
Granules (HA) A mineral Naturally occurring form of calcium apatite Ca5(PO4)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)

8 Application mode 1

9 Application mode 2

10 Chin osteotomy - anterior
anterior step text2

11 1 day postop

12 Chin osteotomy - lateral
lateral step + autologous bone from chin ostectomy

13 ½ y after correction of open bite and heavy chin

14 ½ y after correction of open bite and heavy chin

15 ½ y after correction of open bite and heavy chin

16

17 Mandibular angle in asymmetries

18

19 Mandibular angle in drag king

20 3 years postop

21

22 In facial makeover

23 Infraorbital augmentation

24 Conclusion “clay” no infections rare tract extrusion long-term results


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