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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 Your site here LOGO 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 Your site here LOGO caseload of 48 patients

4 Your site here LOGO Combination Hydroxyapatite Pro Osteon (Interpore Cross) Fibrin glue Tisseel/Tissucol Bone paste Humancancellousbone Pro Osteon Implant500 Blood clot Tisseel clot

5 Your site here LOGO Sealant 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 Fibrin sealant (FS)

6 Your site here LOGO Sealant 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. Fibrin sealant (FS)

7 Your site here LOGO Calcium hydroxylapatite A mineral Naturally occurring form of calcium apatiteapatite Ca5(PO4)3(OH 70% of bone is made up of HAbone Ability to integrate in bone structures & support bone ingrowth, without breaking down or dissolving (i.e it is bioactive) Granules (HA)

8 Your site here LOGO Application mode 1

9 Your site here LOGO Application mode 2

10 Your site here LOGO Chin osteotomy - anterior text2 anterior step

11 Your site here LOGO 1 day postop

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

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

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

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

16 Your site here LOGO

17 Your site here LOGO Mandibular angle in asymmetries

18 Your site here LOGO

19 Your site here LOGO Mandibular angle in drag king

20 Your site here LOGO 3 years postop

21 Your site here LOGO

22 Your site here LOGO In facial makeover

23 Your site here LOGO Infraorbital augmentation

24 Your site here LOGO Conclusion “clay” no infections rare tract extrusion long-term results


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