Mandibular reconstruction using customized three-dimensional titanium implant
Archives of Craniofacial Surgery
;
: 152-156, 2018.
Artículo
en Inglés
| WPRIM
| ID: wpr-715182
ABSTRACT
Mandibular defects lead to severe deformation and functional deficiency. Vascularized osteocutaneous tissue has been widely used to reconstruct the mandible. However, it is technically challenging to shape this type of grafts in such a manner that they resemble the configuration of the mandible. A 48-year-old female patient who underwent anterolateral thigh (ALT) flap coverage after a tongue cancer excision was diagnosed with a tumor recurrence during the follow-up. A wide excision mandibulectomy and mandibular reconstruction with an ALT flap and a titanium implant were performed. The prefabricated titanium implant was fixed to the condyle. Then, an ALT flap was harvested from the ipsilateral thigh and anastomosed. After confirming that the circulation of the flap was intact, the implant was fixed to the parasymphysis. On the radiograph taken after the surgery, the prosthesis was well positioned and overall facial shape was acceptable. There was no postoperative complication during the follow-up period, 1 year and 2 months. The prefabricated implant allows the restoration of facial symmetry without harvesting autologous bone and it is a safe and effective surgical option for mandibular reconstruction.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Prótesis e Implantes
/
Recurrencia
/
Muslo
/
Titanio
/
Neoplasias de la Lengua
/
Estudios de Seguimiento
/
Implantación de Prótesis Mandibular
/
Trasplantes
/
Reconstrucción Mandibular
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Archives of Craniofacial Surgery
Año:
2018
Tipo del documento:
Artículo
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