Khaldoun Darwich1, Mohamad Bilal Ismail2, Mohammed Yamen Al-Shurbaji Al-Mozaiek2, Abdulhadi Alhelwani3. 1. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Damascus University, Damascus, Syria. doctordarwich@gmail.com. 2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Damascus University, Damascus, Syria. 3. Department of Imaging & Pathology/OMFS-IMPATH Research Group, KU Leuven | Oral and Maxillofacial Surgery, Leuven, UZ, Belgium.
Abstract
Reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing maxillofacial surgeons. Historically, various autografts and alloplastic materials have been used in the reconstruction of these types of defects. The use of individualized designed biomaterials has opened new possibilities in reconstructive surgery, and now, it is possible to use the patient's computed tomography (CT) to construct patient-specific implants (PSIs). A case of a large mandibular tumor resection and reconstruction of the defect using a customized 3D-printed titanium implant is described. The treatment had excellent postoperative esthetic and functional results without complications. CONCLUSION: Because titanium implants are customizable, easily workable especially with help of 3D virtual planning techniques, bioinert, and nonporous, they represent an ideal alloplastic material for mandibular reconstruction.
Reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing maxillofacial surgeons. Historically, various autografts and alloplastic materials have been used in the reconstruction of these types of defects. The use of individualized designed biomaterials has opened new possibilities in reconstructive surgery, and now, it is possible to use the patient's computed tomography (CT) to construct patient-specific implants (PSIs). A case of a large mandibular tumor resection and reconstruction of the defect using a customized 3D-printed titanium implant is described. The treatment had excellent postoperative esthetic and functional results without complications. CONCLUSION: Because titanium implants are customizable, easily workable especially with help of 3D virtual planning techniques, bioinert, and nonporous, they represent an ideal alloplastic material for mandibular reconstruction.
Authors: Jan J Lang; Mirjam Bastian; Peter Foehr; Michael Seebach; Jochen Weitz; Constantin von Deimling; Benedikt J Schwaiger; Carina M Micheler; Nikolas J Wilhelm; Christian U Grosse; Marco Kesting; Rainer Burgkart Journal: PLoS One Date: 2021-06-08 Impact factor: 3.240