PMID- 19879201
OWN - NLM
STAT- MEDLINE
DCOM- 20101014
LR  - 20221207
IS  - 1878-0539 (Electronic)
IS  - 1748-6815 (Linking)
VI  - 63
IP  - 10
DP  - 2010 Oct
TI  - Augmentation of temporal fossa hollowing with Mersilene mesh.
PG  - 1629-34
LID - 10.1016/j.bjps.2009.09.022 [doi]
AB  - PURPOSE: Temporal fossa hollowing can represent a serious cosmetic concern to 
      patients', whether congenital; part of a post-traumatic deformity; following 
      oncological resection; or following orbital decompression procedures. Various 
      methods have been described to augment the defect including high density 
      polyethylene (HDPE) implants, methyl methylmethacrolate and lipotransfer, but all 
      have their relative drawbacks. METHODS: We describe 13 temporal defects in 10 
      patients whose defects have been reconstructed with Mersilene mesh (Ethicon, 
      Livingstone UK). When the temporalis muscle is still adequately suspended; folded 
      mesh can be placed in a submuscular/subperiosteal plane. The mesh can be folded 
      as many times as necessary to recreate the appropriate volume, thereby allowing 
      fine control of temple width. If the temporalis is attenuated or displaced 
      inferiorly by previous surgery, its insertion can be recreated using titanium 
      screws to attach the mesh superiorly to the appropriate site on the cranium; the 
      temporalis resuspended and the fascia sutured to the mesh. RESULTS: We report 
      very pleasing cosmetic results with no associated complications such as implant, 
      extrusion or exposure. One patient was complicated by infection requiring removal 
      of the mesh as well as titanium cranioplasty, screws and plates. CONCLUSION: 
      Mersilene mesh is easy to use, contours naturally to the defect and is 
      considerably cheaper than alternatives like HDPE implants.
CI  - Copyright 2009 British Association of Plastic, Reconstructive and Aesthetic 
      Surgeons. Published by Elsevier Ltd. All rights reserved.
FAU - Atherton, Duncan Donald
AU  - Atherton DD
AD  - Chelsea and Westminster Hospital Craniofacial Unit, 369 Fulham Road, London SW10 
      9NH, UK. duncanatherton@hotmail.co.uk
FAU - Joshi, Naresh
AU  - Joshi N
FAU - Kirkpatrick, Niall
AU  - Kirkpatrick N
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20091029
PL  - Netherlands
TA  - J Plast Reconstr Aesthet Surg
JT  - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
JID - 101264239
RN  - 0 (Polyethylene Terephthalates)
RN  - 25038-59-9 (Lavsan)
RN  - D1JT611TNE (Titanium)
SB  - IM
MH  - Adult
MH  - Bone Plates
MH  - Bone Screws
MH  - Carcinoma, Adenoid Cystic/pathology/*surgery
MH  - Female
MH  - Graves Ophthalmopathy/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Polyethylene Terephthalates
MH  - Plastic Surgery Procedures/*methods
MH  - *Surgical Mesh
MH  - Temporal Bone/injuries/pathology/*surgery
MH  - Titanium
MH  - Treatment Outcome
EDAT- 2009/11/03 06:00
MHDA- 2010/10/15 06:00
CRDT- 2009/11/03 06:00
PHST- 2009/07/27 00:00 [received]
PHST- 2009/09/20 00:00 [accepted]
PHST- 2009/11/03 06:00 [entrez]
PHST- 2009/11/03 06:00 [pubmed]
PHST- 2010/10/15 06:00 [medline]
AID - S1748-6815(09)00719-0 [pii]
AID - 10.1016/j.bjps.2009.09.022 [doi]
PST - ppublish
SO  - J Plast Reconstr Aesthet Surg. 2010 Oct;63(10):1629-34. doi: 
      10.1016/j.bjps.2009.09.022. Epub 2009 Oct 29.