Chakravarthy Chitra, Patil Ravi S, Wagdargi Shivraj, Malyala Santosh Kumar, Sofhia Daisy Arahna, Babu Chethan V, Koppunur Rakesh, Mundodi Aishwarya
Department of Oral and Maxillofacial Surgery, Navodaya Dental College and Hospital, Raichur, Karnataka 584103 India.
National Institute of Technology Warangal, Warangal, Telangana 506004 India.
J Maxillofac Oral Surg. 2024 Oct;23(5):1096-1105. doi: 10.1007/s12663-023-01926-3. Epub 2023 Apr 30.
Mandibular continuity defects can cause functional and cosmetic deformities affecting a patient's quality of life. Reconstruction of such defects can be intricate even for the most seasoned maxillofacial surgeons. Reconstruction plates were the standard of care in the past, followed by a secondary reconstruction using autogenous grafts.
Novel technological upgrades like customized computer-designed patient-specific implants (PSIs) have overtaken these stock reconstruction plates to enhance the aesthetics and address the individual clinical situation. Affirmation of the above plate design using biomechanical analysis can further improve the efficacy of PSIs.
The present case report describes a novel combination of an autogenous graft and a low-cost patient-specific implant with the prosthesis design validated using finite element analysis. The authors have also reviewed the biomechanical evaluation of PSIs design and its uses in treating mandibular continuity defects.
Use of FEA helped to inspect the potential weakness and stress distribution through out the implant due to this there was no sign of hardware failure.
下颌骨连续性缺损会导致功能和外观畸形,影响患者的生活质量。即使对于经验最丰富的颌面外科医生来说,重建此类缺损也可能很复杂。过去,重建钢板是标准的治疗方法,随后使用自体移植物进行二次重建。
诸如定制计算机设计的患者特异性植入物(PSI)等新型技术升级已取代了这些常规重建钢板,以提高美观度并解决个体临床情况。使用生物力学分析对上述钢板设计进行验证可进一步提高PSI的疗效。
本病例报告描述了一种自体移植物与低成本患者特异性植入物的新颖组合,其假体设计通过有限元分析得到验证。作者还回顾了PSI设计的生物力学评估及其在治疗下颌骨连续性缺损中的应用。
有限元分析的使用有助于检查植入物整体的潜在薄弱点和应力分布,因此没有硬件故障的迹象。