The Use of Computer-Aided Design and Manufacturing in Acute Mandibular Trauma Reconstruction

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
George KokosisAmir H Dorafshar

Abstract

Virtual surgical planning (VSP) with subsequent computer-aided design and manufacturing have proved efficacious in improving the efficiency and outcomes of a plethora of surgical modalities, including mandibular reconstruction and orthognathic surgery. Five patients underwent complex mandibular reconstruction after traumatic injury using VSP from July 2016 to August 2017 at our institution. The Johns Hopkins University Hospital institutional review board approved the present study. The patient's occlusion was restored virtually, and a milled 2.0-mm plate was created that would bridge the defect with the patient in occlusion. Appropriate occlusion was confirmed using postoperative computed tomography. No patient developed any adverse outcomes, except for a minor dehiscence of the intraoral incision in 1 patient that was treated with local wound care. The average interval from the injury to custom plate availability was approximately 7 days. The utility of this technology in acute complex mandibular trauma can overcome the challenges of traditional treatment. Custom patient-specific prebent and milled plates permit the use of a lower profile and therefore less palpable hardware, can guide reduction, avoid the need for plate bendi...Continue Reading

Citations

Jul 1, 2020·The Journal of Craniofacial Surgery·Christopher L KalmarJesse A Taylor
Dec 29, 2020·Frontiers in Surgery·Sam P TarassoliIain S Whitaker
Jan 19, 2021·Craniomaxillofacial Trauma & Reconstruction·Wichuda Kongsong, Somsak Sittitavornwong
Apr 28, 2021·International Journal of Computer Assisted Radiology and Surgery·Johanna NilssonAndreas Thor
Jun 29, 2021·Plastic and Reconstructive Surgery·Kristopher M DayJamie P Levine
Sep 7, 2020·Journal of Stomatology, Oral and Maxillofacial Surgery·R AlagarsamyR Yadav

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