Application of 3D technology for the design of a guidewire for deep cervicofacial collections percutaneous management.

Autor:	López-Martínez C; Oral and Maxillofacial Surgery Department, University Hospital La Paz, Madrid, Spain., Pampín-Martínez MM; Oral and Maxillofacial Surgery Department, University Hospital La Paz, Madrid, Spain., García-López-Chicharro A; Oral and Maxillofacial Surgery Department, University Hospital La Paz, Madrid, Spain., Aragón-Niño Í; Oral and Maxillofacial Surgery Department, University Hospital La Paz, Madrid, Spain., Cebrián-Carretero JL; Oral and Maxillofacial Surgery Department, University Hospital La Paz, Madrid, Spain.
Jazyk:	angličtina
Zdroj:	Journal of clinical and experimental dentistry [J Clin Exp Dent] 2024 Mar 01; Vol. 16 (3), pp. e383-e386. Date of Electronic Publication: 2024 Mar 01 (Print Publication: 2024).
DOI:	10.4317/jced.61354
Abstrakt:	Background: This study aims to present a case of deep cervicofacial abscesses and demonstrate the efficacy of CT-guided drainage with a custom-designed puncture guide in a challenging anatomical location. The use of this type of guide is an innovative technique since CAD-CAM technology has not been used for this type of application until now. Material and Methods: A 76-year-old man with persistent facial swelling and trismus underwent surgical drainage initially, but symptoms persisted. A CT-guided transcutaneous approach was planned using a custom-designed positioning guide created with "in-house" 3D technology. The guide was fabricated using Surgical Guide resin, and the patient underwent successful CT-guided drainage. Results: The intervention facilitated precise drainage without damaging critical anatomical structures. The patient exhibited prompt clinical improvement, shortened hospitalization, and favorable aesthetic outcomes. Conclusions: CT-guided drainage, particularly when combined with a custom puncture guide, offers a less invasive alternative for challenging cervicofacial abscesses. This approach proves valuable in reducing procedure duration, minimizing soft tissue trauma, and enhancing preoperative planning, making it especially beneficial for patients with high anesthetic risk or complex anatomical considerations. Key words: Cervical abscess, 3D technology, drainage guide, percutaneous puncture. Competing Interests: Conflicts of interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright: © 2024 Medicina Oral S.L.)
Databáze:	MEDLINE
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