Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Sinus Tract Formation with Chronic Inflammatory Cystic Mass after Beta Tricalcium Phosphate Insertion

  • Kim, Hong Jin (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University) ;
  • Na, Woong Gyu (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University) ;
  • Jung, Sung Won (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University) ;
  • Koh, Sung Hoon (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University) ;
  • Lim, Hyoseob (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University)
  • Received : 2017.10.12
  • Accepted : 2017.11.14
  • Published : 2017.12.20
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Abstract

Beta tricalcium phosphate (${\beta}-TCP$) is one of allogenic bone substitute which is known to have interconnected pores that draws cell and nutrients for bone generation. It has been resulted in good outcomes for bone defect coverage or augmentation. However, several studies have also reported negative outcomes and associated complications including unexpected formation of cystic mass, continuous pain and secretion. We present the case of a 36-year-old man with a right cheek cystic mass who had a history of right zygomaticomaxillary (ZM) complex fracture and surgical correction with ${\beta}-TCP$ powder insertion to ZM bone defect. Excisional biopsy under local anesthesia revealed calcified mass in a sinus tract which was found to be connected to the ZM bone defect site in postoperative computed tomography image. Further excision under general anesthesia was performed to remove the sinus tract and fine granules which filled the original defect site. Pathologic report revealed bony spicules and calcification materials with chronic foreign body reaction. Postoperative complications and recurrence were not reported.

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References

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