Application of Three-Dimensional Printing Technology for Improved Orbital-Maxillary-Zygomatic Reconstruction
Authors:
- 1 March 2019
- journal article
- research article
- Published by Wolters Kluwer Health in Journal of Craniofacial Surgery
- Vol. 30 (2) , e127-e131
Abstract
The reconstruction of orbital-maxillary-zygomatic complex (OMZC) on patients suffering from trauma and space-occupying lesions is challenging due to the irregularity of craniomaxillofacial bones. To overcome the challenge in precise OMZC reconstruction, individual three-dimensional (3D) disease models and mirror-imaged 3D reconstruction models were printed on the basis of the computer tomography. Preoperative planning by rehearsing surgical procedures was made on the 3D disease models and the scaffolds including titanium and absorbable meshes or plates were anatomically premolded using the mirror-imaged 3D models as guide. Many benefits were achieved including more precise OMZC reconstruction, fluent and smooth procedures of surgeries, shorter operation time, less blood loss, and improved cosmetic outcomes of craniomaxillofacial shapes. There were no complications such as diplopia, infection, foreign body reaction, exophthalmos, enophthalmos, disordered occlusal relationship, and hematoma. And patients were satisfied with the functional and esthetic outcome during the following-up time. Therefore, OMZC reconstruction can be optimized and successful through preoperative planning and premolded scaffolds with 3D printing bone model by computer-aid design and manufacturing.Keywords
This publication has 39 references indexed in Scilit:
- Value of preoperative mandibular plating in reconstruction of the mandibleHead & Neck, 2013
- Construction and Accuracy Assessment of Patient-Specific Biocompatible Drill Template for Cervical Anterior Transpedicular Screw (ATPS) Insertion: An In Vitro StudyPLOS ONE, 2013
- Maxillofacial Fracture Experiences: A Review of 152 CasesThe Eurasian Journal of Medicine, 2012
- Use of Virtual Surgery and Stereolithography-Guided Osteotomy for Mandibular Reconstruction with the Free FibulaPlastic and Reconstructive Surgery, 2011
- Orbital form analysis: problems with design and positioning of precontoured orbital implantsInternational Journal of Oral and Maxillofacial Surgery, 2010
- Facial TraumaJournal of Craniofacial Surgery, 2010
- Clinical application of 3D pre-bent titanium implants for orbital floor fracturesJournal of Cranio-Maxillofacial Surgery, 2009
- Anatomical 3-dimensional Pre-bent Titanium Implant for Orbital Floor FracturesOphthalmology, 2006
- Management of Displaced Lateral Orbital Wall Fractures Associated with Visual and Ocular Motility DisturbancesPlastic and Reconstructive Surgery, 1998
- Precise Repair of Orbital Maxillary Zygomatic FracturesJAMA Otolaryngology–Head & Neck Surgery, 1994