Sinus Tract Formation with Chronic Inflammatory Cystic Mass after Beta Tricalcium Phosphate Insertion

Kim, Hong Jin; Na, Woong Gyu; Jung, Sung Won; Koh, Sung Hoon; Lim, Hyoseob

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자료유형: 학술저널

저자정보: 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)

저널정보: 대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제18권 제4호

발행연도: 2017.1

수록면: 282 - 286 (5page)

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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.

#Beta tricalcium phosphate #Complication #Foreign body reaction

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