J Korean Assoc Oral Maxillofac Surg 2018; 44(5): 207~211
Complications after craniofacial reconstruction with calcium phosphate cements: a case report and review of the literature
Fereydoun Pourdanesh1, Noorahmad Latifi2, Fatemeh Latifi1
1Department of Oral and Maxillofacial Surgery, Taleghani Hospital, School of Dentistry, Shahid Beheshti University of Medical Sciences, 2Department of Plastic and Reconstructive Surgery, Hazrate Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Fatemeh Latifi
Department of Oral and Maxillofacial Surgery, Taleghani Hospital, School of Dentistry, Shahid Beheshti University of Medical Sciences, Velenjak, Chamran Highway, Tehran 19418-13363, Iran
TEL: +98-2122643126 FAX: +98-9123236333
E-mail: dr.f.latifi@gmail.com
ORCID: https://orcid.org/0000-0002-7326-0247
Received November 7, 2017; Revised January 31, 2018; Accepted February 12, 2018.; Published online October 31, 2018.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Among different graft materials for craniofacial reconstruction, calcium phosphate cements have the advantages of alloplastic grafts and wide use. The authors report a case of foreign body reaction following frontal reconstruction with JectOS (an injectable calcium orthophosphate cement; Kasios) and reviewed the literature on complications of this material after craniofacial reconstruction from 2002 to 2017. Complications were categorized into two groups: immunologic reactions (consisting of seroma collection, chronic sinus mucosa swelling, and foreign body reaction) and non-immune events (infection, fragmentation, and ejection). It is wise to use calcium phosphate-based material only in selected cases with small defects, and long-term follow-up is needed to observe their consequences.
Keywords: Calcium phosphate cements, Craniofacial reconstruction, JectOS, Complication


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31 October 2018
Vol. 44
No. 5 pp. 205~247

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