Клинические аспекты применения чистого титана в реконструктивной хирургии травматических дефектов костей лицевого и мозгового черепа

Abstract

In recent decades, a trend of annually growth in the number of patients with defects of facial skull and cerebral cranium as a result of serious concomitant craniofacial injuries has been emerged. Clinical material is presented by 53 patients in the period of 1985-2008. A technology of fixation of perforated implants of clear titanium by titanium screws was used during reconstructive surgery for traumatic defects of the bones of facial skull and cerebral cranium. A special form has been developed for studying long-term results and classification of the obtained data. The researches objectively show that the traumatic defects of the bones of facial skull and cerebral cranium which are complicated by its architectonics and severity of defects of functional esthetic condition of the patient the facial bones and the cranium can be virtually eliminated with the help of perforated plates of clear titanium. Scientifically grounded advantages of titanium implant give real prospects for widespread clinical use. The presented clinical aspects should be considered as optimization of osteogenic properties and increase of regenerative capacity of the bones of facial skull and cerebral cranium, stimulating the process of osseointegration in “bone-implant” system.