| Popis: |
Surgical procedures in the facial region are associated bya variety of difficulties. The anatomy of the maxillofacialregion, the complexity of the bony architecture as well as theesthetic implications.The three dimensional imaging and 3D printing, havebeen applied for the restoration the complex anatomy ofcraniofacial structures. In addition, mirror-imaging techniquesadvocating 3D computed tomographic (CT) scanning and 3Dprinting can maximize the surgical outcome on both thefunctional and esthetic reconstruction levels. A syntheticscaffold can be pre-molded to the individual prototype skullmodel to resemble the anatomic contour before applying it tocover the orbital defects.Our aim is to show the importance and present our experiencewith three-dimensional virtual planning in solving avariety of acute and chronic clinical deformities within thescope of trauma in the cranio maxillofacial region.25 patients were retrospectively recruited. Mean age was33.5 years (range 13-59), male: female ratio = 2.6:1 (18:7).Eleven patients had acute injuries (44%) while the remaining14 patients (56%) had chronic (malunited) fractures performedin 2 different centers treating maxillofacial deformities operatedutilizing 3D planning protocols.The advocation of the virtual planning techniques, threedimension printing and printed custom implant enabled anaccurate reduction and fixation procedure of complex acuteand chronic complex upper and midface fracture, which isreflected in very satisfactory aesthetic outcome. |
