Maxillomandibular rehabilitation using digital technology assisted with stereolithographic surgical guide and distraction osteogenesis: A case report
نویسندگان
چکیده
Introduction: The aim of this paper is to describe a case of rehabilitation of trauma induced mandibular defect, reconstructed by distraction osteogenesis, and followed by the precise placement of implants aided with digital planning software. Case Report: In the following case report, a 56-year-old male patient with mandibular segmental defect, was treated with distraction osteogenesis followed by the fabrication of stereolithographic surgical guide using integrated CBCT and SIMPLANT software for the precise placement of implants resulting in restoration of occlusal function. The treatment plan also included W-plasty to excise the facial scar resulting in better esthetics. Comprehensive treatment planning resulted into reconstruction of mandible, and restoration of occlusal function and facial appearance. Conclusion: Surgical planning based on stereolithographic technique is a safe procedure which can contribute in the preoperative treatment planning, assuring the quality and accuracy of surgery. (This page in not part of the published article.) International Journal of Case Reports and Images, Vol. 7 No. 6, June 2016. ISSN – [0976-3198] Int J Case Rep Images 2016;7(6):402–407. www.ijcasereportsandimages.com Singh et al. 402 CASE REPORT OPEN ACCESS Maxillomandibular rehabilitation using digital technology assisted with stereolithographic surgical guide and distraction osteogenesis: A case report Pradeep Singh, Deepal Haresh Ajmera, Tao Wang, Shui Sheng Xiao
منابع مشابه
The role of computer-aided 3D surgery and stereolithographic modelling for vector orientation in premaxillary and trans-sinusoidal maxillary distraction osteogenesis.
BACKGROUND Maxillary distraction osteogenesis is a challenging procedure when it is performed with internal submerged distractors due to obligation of setting accurate distraction vectors. METHODS Five patients with severe maxillary retrognathy were planned with Mimics 10.01 CMF and Simplant 10.01 software. Distraction vectors and rods of distractors were arranged in 3D environment and on STL...
متن کاملVertical distraction osteogenesis of a free vascularized fibula flap in a reconstructed hemimandible for mandibular reconstruction and optimization of the implant prosthetic rehabilitation. Report of a case.
Free vascularized fibular flap is considered the treatment of choice in mandibular reconstruction for extensive bone defects (over 6 centimeters) resulting from trauma, infections or tumor resections. But, when the reconstruction involves a dentate mandible, the fibula has the limit as it does not offer sufficient bone height to restore the alveolar arch up to the occlusal plane. Therefore, the...
متن کاملDistraction osteogenesis in a severe mandibular deficiency
OBJECTIVE Distraction osteogenesis is an alternative treatment method for the correction of mandibular hypoplasia. In this case report, distraction with a multidirectional extraoral device was performed to gradually lengthen the corpus and ramus of a patient who had a severe hypoplastic mandible. MATERIALS AND METHODS The patient underwent bilateral extraoral ramus and corpus distraction oste...
متن کاملManagement considerations in reconstruction of postablative defects of the mandible: vertical distraction of a scapular bone flap and removable lip support: a case report.
OBJECTIVE To describe vertical distraction osteogenesis of a scapular flap and removable lip support for oral rehabilitation after surgical creation of an ablative defect of the mandible. CASE REPORT A 70-year-old man who was diagnosed with squamous cell carcinoma of the left lower gingiva underwent segmental mandibulectomy for tumor ablation and reconstruction with a scapular bone flap. To a...
متن کاملRepositioning template for mandibular reconstruction with fibular free flaps: an alternative technique to pre-plating and virtual surgical planning
Oral malignancies involving the mandibular bone require a complex reconstructive plan. Mandibular reconstruction with a fibular free flap is currently considered the best choice for functional and aesthetic rehabilitation after oncological surgery. This flap can be modelled with multiple osteotomies and can provide bone, muscle and skin for composite reconstruction. One of the most delicate asp...
متن کامل