Demineralized Bone–Fibrin Sandwich for Genioplasty

• Published in: Aesthetic plastic surgery Vol. 38; no. 4; pp. 755 - 758
• Main Authors: Kim, Yunsoo A., Steinbacher, Derek M.
• Format: Journal Article
• Language: English
• Published: Boston Springer US 01.08.2014; Springer Nature B.V
• Subjects: Adolescent; Adult; Bone Demineralization Technique; Bone Matrix - transplantation; Female; Fibrin Tissue Adhesive - therapeutic use; Genioplasty - methods; Humans; Innovative Techniques; Male; Medicine; Medicine & Public Health; Middle Aged; Otorhinolaryngology; Plastic Surgery; Retrospective Studies; Young Adult; Genioplasty; Mineralization; Facial aesthetics; Chin; Fibrin glue; DBX; DBM; Vascularization
• ISSN: 0364-216X; 1432-5241; 1432-5241
• DOI: 10.1007/s00266-014-0362-y

Osseous genioplasty is a versatile technique to improve chin and facial aesthetics. It carries several benefits compared to an alloplastic implant, but the downsides of an intersegmental gap and lateral stepoffs must be weighed. These areas are typically left open, despite being subject to unpredictable resorption or incomplete osseous healing. We describe the strategy of using a combination of demineralized bone matrix (DBM) and fibrin glue to promote bone fill while smoothing contours and transitions along the genioplasty. Our retrospective study included 32 patients who underwent genioplasty with the DBM-fibrin sandwich. There were no genioplasty-related complications at the 6 months follow-up. Our results indicate that this technique is safe and is a valuable addition to possible graft material for genioplasty. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266 .