The second operation was performed 7 days after the first one. The dentoalveolar fistula was closed with palatal and gingival local flaps. Then, a vestibular approach was used, and a titanium mesh was placed over the area of the closed fistula (Fig. 3). The titanium mesh crossed from the right maxilla to the left, avoiding the nasal cavity. Then, the mesh was secured with self-tapping 5-mm screws. The titanium mesh produced adequate stability of the Le Fort II fracture. The patient did not present any signs of exposure of the titanium mesh or signs of dural fistula. Olfactory nerves were irreversibly damaged, producing permanent anosmia.
Gerardo Flores-Lima, M.D.
Eduardo E. Lovo Iglesias, M.D.
1. Cole P, Kaufman Y, Momoh A, et al. Techniques in frontal sinus fracture repair. Plast Reconstr Surg
Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article's publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.
Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS' enkwell, at www.editorialmanager.com/prs/.
We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.
The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.