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Case Reports
. 2018 Sep;29(6):e582-e585.
doi: 10.1097/SCS.0000000000004599.

Repairing a Facial Cleft by Polyether-Ether-Ketone Implant Combined With Titanium Mesh

Yuan Deng  1 , Weiwei Tang  2 , Zhengkang Li  1   3
Affiliations
Case Reports

Repairing a Facial Cleft by Polyether-Ether-Ketone Implant Combined With Titanium Mesh

Yuan Deng et al. J Craniofac Surg. 2018 Sep.

Abstract

The Tessier Number 4 cleft is one of the rarest, most complex craniofacial anomalies that presents difficulties in surgical treatment. In this article, we report a case of simultaneous facial depression, eye displacement, and medial canthus deformity. In this case, the maxillary bony defect was reconstructed using computer-assisted design computer-assisted manufacturing (CAD-CAM) polyether-ether-ketone (PEEK) material, and the orbital floor defect was repaired with AO prefabricated titanium mesh. Additionally, the medial canthus was modified with canthopexy and a single Z-plasty flap. Owing to its relative rarity and varied clinical presentations, no definitive operative methods have been accepted for Tessier No. 4 facial cleft. This study presents the combination of CAD-CAM manufactured PEEK material and titanium mesh as an alternative approach for reconstructing the bony defect of Tessier No. 4 facial clefts.

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