Polymethyl-methacrylate implants in forehead and supraorbital arches reconstruction: Retrospective study

Frontobasal injuries and some other diseases of frontal sinuses sometimes r equire radical surgery with the obliteration of the sinus. A cosmetic corre ction of the forehead and supraorbital arches has to be performed after suc h a procedure. Nowadays, there is a wide choice of alloplastic materials on the market. We tried polymethyl methacrylate implants in correction of the exterior appearance of the forehead and supraorbital arches and followed t he behaviour of the implants up to 25 years after surgery. The result was 1 8 (94,7%) successful implantations and one failure (5,3%) with a mild saggi ng of the borders of the implant. Polymethyl-methacrylate proved pliable fo r work and modelling, not invasive for the organism and stable. In conclusi on, the cure of some frontobasal injuries and diseases with the first surgi cal step followed by cosmetic correction of the forehead and supraorbital a rches (2nd surgical step) using this alloplastic material provides a safe, durable and aesthetically satisfactory solution for the patient.