TY - JOUR
T1 - Single-Unit 3D-Printed Titanium Reconstruction Plate for Maxillary Reconstruction
T2 - The Evolution of Surgical Reconstruction for Maxillary Defects—A Case Report and Review of Current Techniques
AU - Melville, James C.
AU - Manis, Christopher Scott
AU - Shum, Jonathan W.
AU - Alsuwied, Dhafer
PY - 2019/4
Y1 - 2019/4
N2 - The complex 3-dimensional anatomy of the facial skeleton creates a unique challenge for surgical reconstruction. Even more difficult is the precise reconstruction of the maxilla owing to its lack of solid bony support after large resections. Virtual surgical planning (VSP) technology has many applications in head and neck surgery, such as preoperative planning, fabrication of cutting guides and stereolithographic models, and fabrication of custom implants. We present the case of a patient who had undergone surgical resection of a mucoepidermoid carcinoma of the maxilla and immediate reconstruction with a vascularized free fibula flap using VSP. Using a custom 3-dimensional, titanium printed plate, which corresponded precisely with the surgical defect, the maxilla and midface were reconstructed to ideal dimensions with no unplanned surgical manipulation and a shorter overall operating time. We have described the technique and reviewed the pertinent reported data.
AB - The complex 3-dimensional anatomy of the facial skeleton creates a unique challenge for surgical reconstruction. Even more difficult is the precise reconstruction of the maxilla owing to its lack of solid bony support after large resections. Virtual surgical planning (VSP) technology has many applications in head and neck surgery, such as preoperative planning, fabrication of cutting guides and stereolithographic models, and fabrication of custom implants. We present the case of a patient who had undergone surgical resection of a mucoepidermoid carcinoma of the maxilla and immediate reconstruction with a vascularized free fibula flap using VSP. Using a custom 3-dimensional, titanium printed plate, which corresponded precisely with the surgical defect, the maxilla and midface were reconstructed to ideal dimensions with no unplanned surgical manipulation and a shorter overall operating time. We have described the technique and reviewed the pertinent reported data.
UR - http://www.scopus.com/inward/record.url?scp=85060259904&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060259904&partnerID=8YFLogxK
U2 - 10.1016/j.joms.2018.11.030
DO - 10.1016/j.joms.2018.11.030
M3 - Article
C2 - 30615849
AN - SCOPUS:85060259904
SN - 0278-2391
VL - 77
SP - 874.e1-874.e13
JO - Journal of Oral and Maxillofacial Surgery
JF - Journal of Oral and Maxillofacial Surgery
IS - 4
ER -