Virtual Surgical Planning and Customized Subperiosteal Implant for Reconstruction of Maxillary Defect after Oncological Resection


KUNDAKÇIOĞLU A., BİLAZEROĞLU E., EMES Y., AYBAR B.

Journal of Craniofacial Surgery, cilt.35, sa.8, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 8
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1097/scs.0000000000010525
  • Dergi Adı: Journal of Craniofacial Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, MEDLINE
  • Anahtar Kelimeler: Computer-Aided Design software, custom-designed implants, resection jaw surgery
  • İstanbul Üniversitesi Adresli: Evet

Özet

Reconstructing defects after jaw tumor removal is difficult because of the complex facial skeleton, which affects patient nutrition and self-confidence. Traditional methods like iliac bone or fibula grafts take a long time and may raise aesthetic issues. Advancements in computer-aided three-dimensional (3D) modeling allow precise surgical planning, leading to more symmetrical reconstructions. Moreover, the application of custom-designed prostheses, similar to joint prostheses used in joint surgery, offers promising outcomes, particularly in cases involving the removal of the ramus and temporomandibular joint. A 28-year-old female had a maxillectomy for maxillary myxoma, using 3D-printed implants for reconstruction and dental rehabilitation. "Computer-Aided Design" software optimized implant coordination, reducing soft tissue pressure. Postoperative permanent dentures were successful with few complications. Compared with traditional methods, 3D-printed titanium plates improve patient satisfaction and reduce treatment time, particularly with sufficient soft tissue thickness, offering aesthetic benefits and eliminating extra surgeries for effective defect treatment.