Abstract
Purpose
The aim of the study was to analyze the eligibility of resorbable collagen membrane in the treatment of midfacial fractures to prevent gap formation and subsequent cheek tissue retraction.
Material and methods
We included nine patients (six males, three females; mean age 51; range 20–73 years; mean bone gap size 8.03 × 13.12 mm) in a retrospective study design. The defect size was assessed by ultrasound.
Results
After a healing period of 4 to 55 weeks, treatment resulted in a significant reduction of gap size (residual mean bone gap size 6.14 × 7.32 mm).
Conclusions
Native resorbable collagen membrane is a promising tool to reduce the size of bony gap in midfacial defects.
Similar content being viewed by others
References
Marinho RO, Freire-Maia B (2013) Management of fractures of the zygomaticomaxillary complex. Oral Maxillofac Surg Clin North Am 25:617–636
Ellis E, el-Attar A, Moos KF (1985) An analysis of 2,067 cases of zygomatico-orbital fracture. J Oral Maxillofac Surg 43:417–428
Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H (2003) Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 31:51–61
Hammer B, Prein J (1995) Correction of post-traumatic orbital deformities: operative techniques and review of 26 patients. J Craniomaxillofac Surg 23:81–90
Zingg M, Laedrach K, Chen J, Chowdhury K, Vuillemin T, Sutter F, Raveh J (1992) Classification and treatment of zygomatic fractures: a review of 1,025 cases. J Oral Maxillofac Surg 50:778–790
Kristensen S, Tveteras K (1986) Zygomatic fractures: classification and complications. Clin Otolaryngol Allied Sci 11:123–129
Hollier LH, Thornton J, Pazmino P, Stal S (2003) The management of orbitozygomatic fractures. Plast Reconstr Surg 111:2386–2392
Lee EI et al (2010) Optimizing the surgical management of zygomaticomaxillary complex fractures. Semin Plast Surg 24:389–397
Ellis E, Perez D (2014) An algorithm for the treatment of isolated zygomatico-orbital fractures. J Oral Maxillofac Surg 72:1975–1983
Fogaca WC, Fereirra MC, Dellon AL (2004) Infraorbital nerve injury associated with zygoma fractures: documentation with neurosensory testing. Plast Reconstr Surg 113:834–838
Schultze-Mosgau S, Erbe M, Rudolph D, Ott R, Neukam FW (1999) Prospective study on post-traumatic and postoperative sensory disturbances of the inferior alveolar nerve and infraorbital nerve in mandibular and midfacial fractures. J Craniomaxillofac Surg 27:86–93
Vriens JP, Moos KF (1995) Morbidity of the infraorbital nerve following orbitozygomatic complex fractures. J Craniomaxillofac Surg 23:363–368
Vriens JP, van der Glas HW, Bosman F, Koole R, Moos KF (1998) Information on infraorbital nerve damage from multitesting of sensory function. Int J Oral Maxillofac Surg 27:20–26
Das AK, Bandopadhyay M, Chattopadhyay A, Biswas S, Saha A, Balkrishna UM, Nair V (2015) Clinical evaluation of neurosensory changes in the infraorbital nerve following surgical management of zygomatico-maxillary complex fractures. J Clin Diagn Res 9:54–58
Lindorf HH (1984) Osteoplastic surgery of the sinus maxillaris—the “bone lid” method. J Maxillofac Surg 12:271–276
Peltomaa J, Rihkanen H (2000) Infraorbital nerve recovery after minimally dislocated facial fractures. Eur Arch Otorhinolaryngol 257:449–452
Taicher S, Ardekian L, Samet N, Shoshani Y, Kaffe I (1993) Recovery of the infraorbital nerve after zygomatic complex fractures: a preliminary study of different treatment methods. Int J Oral Maxillofac Surg 22:339–341
Kersey JP, Beigi B (1999) Infraorbital nerve decompression for infraorbital neuralgia following orbital fracture. British Oculoplastic Surg Soc 10:4
Kotrashetti SM, Kale TP, Bhandage S, Kumar A (2015) Infraorbital nerve transpositioning into orbital floor: a modified technique to minimize nerve injury following zygomaticomaxillary complex fractures. J Korean Assoc Oral Maxillofac Surg 41:74–77
Kuttenberger JJ, Hardt N, Treumann TC (2004) Long-term results following reconstruction of maxillary sinus wall defects with titanium micro-mesh: a CT-based study. Mund Kiefer Gesichtschir 8:330–336
Kochhar A, Byrne PJ (2013) Surgical management of complex midfacial fractures. Otolaryngol Clin N Am 46:759–778
Draf W (1982) Surgical treatment of the inflammatory diseases of the paranasal sinuses. Arch Oto-rhino-laryngol 235:136–306
Draf W (1980) Facial neuralgia after Caldwell-Luc operation—prophylaxis and therapy. Laryngol Rhinol Otol 59(5):308–311
De Freitas J, Lucente FE (1988) The Caldwell-Luc procedure: institutional review of 670 cases: 1975–1985. Laryngoscope 98:1297–1300
Dahlin C, Linde A, Gottlow J, Nyman S (1981) Healing of bone defects by guided tissue regeneration. Plast Reconstr Surg 81:672–676
Dahlin C, Andersson L, Linde A (1991) Bone augmentation at fenestrated implants by an osteopromotive membrane technique. A controlled clinical study. Clin Oral Implants Res 2:159–165
Linde A, Alberius P, Dahlin C, Bjurstam K, Sundin Y (1993) Osteopromotion: a soft-tissue exclusion principle using a membrane for bone healing and bone neogenesis. J Periodontol 64:1116–1128
Oh TJ, Meraw SJ, Lee EJ, Giannobile WV, Wang HL (2003) Comparative analysis of collagen membranes for the treatment of implant dehiscence defects. Clin Oral Implants Res 14:80–90
Kim M, Kim JH, Lee JY, Cho K, Kang SS, Kim G, Lee MJ, Choi SH (2008) Effect of bone mineral with or without collagen membrane in ridge dehiscence defects following premolar extraction. In Vivo 22:231–236
Wallace SS, Froum SJ (2003) Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review. Ann Periodontol 8:328–343
von Arx T, Buser D (2006) Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membranes: a clinical study with 42 patients. Clin Oral Implants Res 17:359–366
Jung RE, Fenner N, Hämmerle CH, Zitzmann NU (2013) Long-term outcome of implants placed with guided bone regeneration (GBR) using resorbable and non-resorbable membranes after 12–14 years. Clin Oral Implants Res 24:1065–1073
Visser A, Raghoebar GM, Meijer HJ, Meijndert L, Vissink A (2011) Care and aftercare related to implant-retained dental crowns in the maxillary aesthetic region: a 5-year prospective randomized clinical trial. Clin Implant Dent Relat Res 13:157–167
Piombino P, Spinzia A, Abbate V, Bonavolontà P, Orabona GD, Califano L (2013) Reconstruction of small orbital floor fractures with resorbable collagen membranes. J Craniofac Surg 24:571–574
Adeyemo WL, Akadiri OA (2011) A systematic review of the diagnostic role of ultrasonography in maxillofacial fractures. Int J Oral Maxillofac Surg 40:655–661
Jensen J, Sindet-Pedersen S, Oliver AJ (1994) Varying treatment strategies for reconstruction of maxillary atrophy with implants: results in 98 patients. J Oral Maxillofac Surg 52:210–216
Mazor Z, Peleg M, Gross M (1999) Sinus augmentation for single-tooth replacement in the posterior maxilla: a 3-year follow-up clinical report. Int J Oral Maxillofac Implants 14:55–60
Proussaefs P, Lozada J, Kim J (2003) Effects of sealing the perforated sinus membrane with a resorbable collagen membrane: a pilot study in humans. J Oral Implantol 29:235–241
Urban IA, Nagursky H, Lozada JL, Nagy K (2013) Horizontal ridge augmentation with a collagen membrane and a combination of particulated autogenous bone and anorganic bovine bone-derived mineral: a prospective case series in 25 patients. Int J Periodontics Restorative Dent 33:299–307
Merli M, Moscatelli M, Mazzoni A, Mazzoni S, Pagliaro U, Breschi L, Motroni A, Nieri M (2013) Fence technique: guided bone regeneration for extensive three-dimensional augmentation. Int J Periodontics Restorative Dent 33:129–136
Rothamel D, et al. (2013) Cologne Classification of Alveolar Ridge Defects (CCARD). 8th European Consensus Conference of BDIZ EDI. Available at: https://www.bdizedi.org/bdiz/web.nsf/id/li_koelner-defektklassifikation-zur-knochenaugmentation.html
Rothamel D, Benner M, Fienitz T, Happe A, Kreppel M, Nickenig HJ, Zöller JE (2005) Biodegradation of differently cross-linked collagen membranes: an experimental study in the rat. Clin Oral Implants Res 16:369–378
Weng D, Hürzeler MB, Quiñones CR, Ohlms A, Caffesse RG (2000) Contribution of the periosteum to bone formation in guided bone regeneration. A study in monkeys. Clin Oral Implants Res 11:546–554
Song SH, Kyung H, Oh SH, Kang N (2014) Fixation of fractured anterior wall of maxillary sinus using fibrin glue in a zygomaticomaxillary complex fracture. J Craniofac Surg 25:919–921
Guiol J, Schendel SA (2015) Le Fort I osteotomies combined with post-operative bone grafts. Rev Stomatol Chir Maxillofac Chir Orale 116(1):23–27
Funding
There was no grant support for this study.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
Approved (Eth-34/16, Ärztekammer Berlin, 20.09.2016)
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Krause, M., Hümpfner-Hierl, H., Völker, L. et al. A new approach to treat bone gaps after midfacial and zygomatic fractures with a collagen membrane. Oral Maxillofac Surg 21, 439–446 (2017). https://doi.org/10.1007/s10006-017-0652-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-017-0652-z