Bhave Medha, Jaiswal Yogesh Rameshchandra
Department of Plastic Surgery, Laser Cosmesis and Param Hospital and ICU, Thane, Maharashtra, India.
Department of Plastic Surgery, Grant Government Medical College and Sir J. J. Group of Hospitals, Byculla, Mumbai, Maharashtra, India.
Indian J Plast Surg. 2024 Oct 3;57(6):506-509. doi: 10.1055/s-0044-1791686. eCollection 2024 Dec.
Chin augmentation can dramatically transform a patient's appearance. Various techniques are in use, each with their specific problems and limitations. We present the first case report from the Indian subcontinent using a custom 3D-printed, bioresorbable polycaprolactone implant. We demonstrate, by appropriate imaging, the replacement of the implant at long-term (22 months) follow-up by patient's own autologous bone formation. An excellent aesthetic result was achieved. Relevant points of technique, as well as pertinent properties of the material, are discussed. This material has been used in neurosurgery and in the management of orbital fractures. Yet, worldwide, very few (3-4) cases of chin implant have been done using this material. We believe this to be a useful and sustainable material, offering several advantages, as set out in the case report.
隆下巴可以显著改变患者的外貌。目前有多种技术在使用,每种技术都有其特定的问题和局限性。我们呈现了印度次大陆首例使用定制3D打印的可生物吸收聚己内酯植入物的病例报告。通过适当的影像学检查,我们证明在长期(22个月)随访中植入物被患者自身的自体骨形成所替代。获得了极佳的美学效果。文中讨论了相关的技术要点以及材料的相关特性。这种材料已用于神经外科手术和眼眶骨折的治疗。然而,在全球范围内,使用这种材料进行下巴植入的病例非常少(3 - 4例)。我们认为这是一种有用且可持续的材料,具有病例报告中所述的几个优点。