Virtual surgical planning and custom titanium prosthesis for complex secondary mandibular reconstruction following gunshot injury: A case report

Q3 Dentistry Oral and Maxillofacial Surgery Cases Pub Date : 2024-10-24 DOI:10.1016/j.omsc.2024.100375

Amir Jalal Abbasi , Somayeh Niakan , Seyed Mohammad Reza Noori , Rashin Bahrami , Nariman Nikparto

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Abstract

Advancements in reconstructive surgical techniques in the head and neck area have significantly improved the aesthetic and functional reconstruction of patients. Microsurgical techniques, virtual surgical planning (VSP), CAD-CAM technology, intraoperative dynamic navigation, and advanced implantology have greatly enhanced mandible reconstruction. The authors present a case report of a 30-year-old male who suffered a severe mandibular deformity from a gunshot injury. He underwent a complex reconstruction process that involved initial soft tissue repair followed by VSP for customized titanium prosthesis implantation and dental rehabilitation. Advanced software was used to aid in precise surgical and prosthetic design, ultimately restoring the patient's mandibular structure, chin alignment, and facial harmony. This innovative approach, which demonstrates the effectiveness of integrating digital technologies with surgical precision for intricate mandibular reconstructions following trauma, has a profound impact. It provides superior functional and aesthetic results compared to conventional methods, significantly improving the patient's quality of life.

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虚拟手术规划和定制钛假体用于枪伤后复杂的下颌骨二次重建：病例报告

头颈部整形外科技术的进步极大地改善了患者的美观和功能重建。显微外科技术、虚拟手术规划（VSP）、CAD-CAM 技术、术中动态导航和先进的种植技术大大提高了下颌骨重建的效果。作者报告了一例因枪伤导致下颌骨严重畸形的 30 岁男性患者的病例。他接受了复杂的重建过程，包括最初的软组织修复，然后进行 VSP 定制钛假体植入和牙齿康复。先进的软件用于辅助精确的手术和修复设计，最终恢复了患者的下颌骨结构、下巴排列和面部和谐。这种创新方法展示了数字技术与外科手术精确性相结合的有效性，对创伤后复杂的下颌骨重建产生了深远的影响。与传统方法相比，它能提供卓越的功能和美学效果，显著提高患者的生活质量。

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.