The basic aim of a surgical treatment is to restore the normal physical structure by stabilization of the injury and avoid meningoencephalic diseases that can be staid. After analyzing the cosmetic and functional outcomes of the treatment of fractures in context to the materials used, the need of titanium mesh comes in that has overcome the technological constraints in using the metal wires and metallic plates in the body.
In 2001, a car caused to an accident and the patients in the range of 19 to 61 years were observed of using titanium mesh in their body implanted for treatment and the observations were proceed for one to four years. After the clinical treatment, the patients were sent for diagnosis where their fracture was exploited. In the linear injuries of the posterior walls once the injury has been treated via anterior wall, the surgeon may choose for the cranialisation of the particular demucosation solely by suitable restoration of duct patency that can be obtained by the incorporation of 5-9 mm silicon drain that need to be discarded after two to three weeks.
In the fractures that include the inferior wall of the sinus and nasofrontal duct, the operation is aimed at the restoration of duct patency that can be obtained by insertion of silicon tube or by the effect of nasal contra aperture with the tamponage and anterior eradication of mucosa.
The anterior wall fractures can be straight, dejected in without loss of matter or some loss and it the fracture is not reduced it can cause severe cosmetic distortion for lifetime. The surgical process of communicated injuries is certainly tough as the little dimensions of the bone portions at a time do not permit implantation using wire or miniplates that causes long recovery time while weak fixtures and generally result into poor fixation of the injuries.
In the cosmetic field titanium mesh has been used instead of using metal wire because of its suitable stabilization features in the special cases of matter thrashing. Infact, titanium mesh was used for the first time in the Vietnal warfare where it sustained for few years showed the improvement in decreasing the initial firmness and improved resistance and malleability. After this, the use of mesh has become popular among in people.
The benefit of using titanium mesh is its not sole use in the required stabilization of the injuries but also the superior biocompatibility of the mesh and nominal sensitivity in catching fire and the convenience of mesh to adjust in various shapes. In communicated injuries of anterior wall of the frontal sinus, the little bon parts are fixed using mesh of titanium.
Overall, the communicated frontal sinus injuries of anterior wall needs large revelation by bitemporal coronal slits and titanium mesh is recommended as the best material to choose for repairing the fractures. However different types of materials were used to fix the fractures and implantation though surgeons find the mesh of titanium the best option.