Use of a Three-Dimensional Model to Optimize a MEDPOR Implant for Delayed Reconstruction of a Suprastructure Maxillectomy Defect

Craniomaxillofacial Trauma and Reconstruction

Erik M. Wolfswinkel¹  William Weathers¹  Shayan Izaddoost¹  Aisha McKnight¹  Anthony Echo² 

[1] Department of Plastic Surgery, Baylor College of Medicine;Methodist Institute for Reconstructive Surgery, The Methodist Hospital, Houston, Texas

关键词: MEDPOR implant;    suprastructure maxillectomy;    midface reconstruction;    porous polypropylene;    facial reconstruction;    3-D model;   

DOI  :  10.1055/s-0033-1356762

学科分类：口腔科学

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

The use of a three-dimensional (3-D) model has been well described for craniomaxillofacial reconstruction, especially with the preoperative planning of free fibula flaps. This article reports the application of an innovative 3-D model approach for the calculation of the exact contours, angles, length, and general morphology of a prefabricated MEDPOR 2/3 orbital implant for reconstruction of a suprastructure maxillectomy defect. The 3-D model allowed intraoperative modification of the MEDPOR implant which decreased the risk of iatrogenic harm, contamination while also improving aesthetic results and function. With the aid of preoperative 3-D models, porous polypropylene facial implants can be contoured efficiently intraoperatively to precisely reconstruct complex craniomaxillofacial defects.

【 授权许可】

Unknown