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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제41권 제10호
- 발행연도
- 2019.1
- 수록면
- 1 - 5 (5page)
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Background: Reconstructive surgery is often required for tumors of the oral and maxillofacial region, irrespective of whether they are benign or malignant, the area involved, and the tumor size. Recently, three-dimensional (3D) models are increasingly used in reconstructive surgery. However, these models have rarely been adapted for the fabrication of custom-made reconstruction materials. In this report, we present a case of maxillary reconstruction using a laboratory-engineered, custom-made mesh plate from a 3D model. Case presentation: The patient was a 56-year-old female, who had undergone maxillary resection in 2011 for intraoral squamous cell carcinoma that presented as a swelling of the anterior maxillary gingiva. Five years later, there was no recurrence of the malignant tumor and a maxillary reconstruction was planned. Computed tomography (CT) revealed a large bony defect in the dental-alveolar area of the anterior maxilla. Using the CT data, a 3D model of the maxilla was prepared, and the site of reconstruction determined. A custom-made mesh plate was fabricated using the 3D model (Okada Medical Supply, Tokyo, Japan). We performed the reconstruction using the custom-made titanium mesh plate and the particulate cancellous bone and marrow graft from her iliac bone. We employed the tunneling flap technique without alveolar crest incision, to prevent surgical wound dehiscence, mesh exposure, and alveolar bone loss. Ten months later, three dental implants were inserted in the graft. Before the final crown setting, we performed a gingivoplasty with palate mucosal graft. The patient has expressed total satisfaction with both the functional and esthetic outcomes of the procedure. Conclusion: We have successfully performed a maxillary and dental reconstruction using a custom-made, pre-bent titanium mesh plate.
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참고문헌 (13)
참고문헌 신청
Katsumi Y / 2016 / Planning for orthognathic surgery at medical fabrication laboratory in Tokyo dental college(fab lab TDC)clinical application of full-scale-model made by 3-dimensional ink jet printer for orthognathic surgery / Oral Science Japan 2016:9~11
A.F. Ayoub / 2014 / A novel approach for planning orthognathic surgery: The integration of dental casts into three-dimensional printed mandibular models / International Journal of Oral and Maxillofacial Surgery 43(4):454~459
Peng Yuan / 2017 / Design, development and clinical validation of computer-aided surgical simulation system for streamlined orthognathic surgical planning / International Journal of Computer Assisted Radiology and Surgery 12(12):2129~2143
Hiroyuki Yamada / 2016 / Clinical Usefulness of Mandibular Reconstruction Using Custom-Made Titanium Mesh Tray and Autogenous Particulate Cancellous Bone and Marrow Harvested From Tibia and/or Ilia / Journal of Craniofacial Surgery 27(3):586~592
Mitsuyoshi Iino / 2009 / Evaluation of 15 mandibular reconstructions with Dumbach Titan Mesh-System and particulate cancellous bone and marrow harvested from bilateral posterior ilia / Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 107(4):e1~e8
A.F. Ayoub / 2014 / A novel approach for planning orthognathic surgery: The integration of dental casts into three-dimensional printed mandibular models / International Journal of Oral and Maxillofacial Surgery 43(4):454~459
Peng Yuan / 2017 / Design, development and clinical validation of computer-aided surgical simulation system for streamlined orthognathic surgical planning / International Journal of Computer Assisted Radiology and Surgery 12(12):2129~2143
Hiroyuki Yamada / 2016 / Clinical Usefulness of Mandibular Reconstruction Using Custom-Made Titanium Mesh Tray and Autogenous Particulate Cancellous Bone and Marrow Harvested From Tibia and/or Ilia / Journal of Craniofacial Surgery 27(3):586~592
Mitsuyoshi Iino / 2009 / Evaluation of 15 mandibular reconstructions with Dumbach Titan Mesh-System and particulate cancellous bone and marrow harvested from bilateral posterior ilia / Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 107(4):e1~e8
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