Palaskar Jayant N, Athavale Swapna N, Joshi Nikhil P, Gunjal Anuja P
Department of Prosthodontics & Crown and Bridge, Sinhgad Dental College and Hospital, MUHS, Pune, Maharashtra, India.
Department of Plastic Surgery, Smt. Kashibai Navale Medical College and General Hospital, MUHS, Pune, Maharashtra, India.
Ann Maxillofac Surg. 2021 Jul-Dec;11(2):309-312. doi: 10.4103/ams.ams_57_20. Epub 2022 Feb 1.
Achieving predictable aesthetic results of large craniofacial defects has always been difficult, and it requires a multidisciplinary approach.
The chief concern of the patient was poor aesthetics due to a congenital craniofacial defect.
The patient was a known case of plexiform neurofibromatosis and had a congenital temporo-orbital bone defect of unknown origin.
The reconstruction of the defect was done using rapid prototyping (RPT) and iliac crest graft. Three-dimensional computed tomography imaging and RPT were used to obtain a customized titanium prosthesis to rehabilitate the temporal defect and the defect lateral to the orbit was reconstructed using an iliac crest graft.
Postoperative results were satisfactory and predictable. The positive change in appearance has improved the psychological well-being of the patient.
TAKE-AWAY LESSONS: A multidisciplinary approach, use of advanced and improved technology helps in better treatment planning and achieving desired aesthetic results.
实现大型颅面缺损可预测的美学效果一直很困难,这需要多学科方法。
患者主要关注的是先天性颅面缺损导致的美学效果不佳。
该患者为已知的丛状神经纤维瘤病病例,存在原因不明的先天性颞眶骨缺损。
使用快速成型技术(RPT)和髂嵴移植进行缺损修复。通过三维计算机断层扫描成像和RPT获取定制的钛假体来修复颞部缺损,并用髂嵴移植修复眼眶外侧的缺损。
术后结果令人满意且可预测。外观上的积极变化改善了患者的心理健康。
多学科方法、使用先进和改良技术有助于更好地进行治疗规划并实现理想的美学效果。