The use of computer-aided design/manufacturing (CAD/CAM) technology to aid in the reconstruction of congenitally deficient pediatric mandibles: A case series
| Autor: | Scott P. Bartlett, Nicholas Bastidas, Alexander J. Gougoutas, Oksana Jackson |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
CAD Mandible Surgical planning Surgical Flaps medicine Humans Mandibular Diseases Fibula Child business.industry General Medicine Plastic Surgery Procedures medicine.disease Hypoplasia Surgery Hemifacial microsomia Otorhinolaryngology Child Preschool Pediatrics Perinatology and Child Health Computer-Aided Design Female business |
| Zdroj: | International journal of pediatric otorhinolaryngology. 79(12) |
| ISSN: | 1872-8464 |
| Popis: | Background Microvascular reconstruction of the pediatric mandible, particularly when necessitated by severe, congenital hypoplasia, presents a formidable challenge. Complex cases, however, may be simplified by computer-aided design/computer-aided manufacturing (CAD/CAM) assisted surgical planning. This series represents the senior authors’ preliminary experiences with CAD/CAM assisted, microvascular reconstruction of the pediatric mandible. Methods Presented are two patients with hemifacial/bifacial microsomia, both with profound mandibular hypoplasia, who underwent CAD/CAM assisted reconstruction of their mandibles with vascularized fibula flaps. Surgical techniques, CAD/CAM routines employed, complications, and long-term outcomes are reported. Results Successful mandibular reconstructions were achieved in both patients with centralization of their native mandibles and augmentation of deficient mandibular subunits. No long-term complications were observed. Conclusions CAD/CAM technology can be utilized in pediatric mandibular reconstruction, and is particularly beneficial in cases of profound, congenital hypoplasia requiring extensive, multi-planar, bony reconstructions. |
| Databáze: | OpenAIRE |
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