Mandibular Reconstruction Using a Customized Three-Dimensional Titanium Implant Applied on the Lingual Surface of the Mandible. Issue 2 (March 2018)

• Record Type: Journal Article
• Authors: Jo, You-Young; Kim, Seong-Gon; Kim, Min-Keun; Shin, Sung-Ho; Ahn, Janghoon; Seok, Hyun
• Is Part Of: Journal of craniofacial surgery. Volume 29:Issue 2(2018)
• Publication Date: 2018-03
• Subjects: Ameloblastoma -- computer-aided design -- customized titanium implant -- mandible reconstruction; Facial bones -- Surgery -- Periodicals; Skull -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Surgery, Plastic -- Periodicals; 617.52
• DOI: 10.1097/SCS.0000000000004119
• Languages: English
• ISSNs: 1049-2275

Abstract

Abstract : Abstract: A patient had a right mandibular defect due to resection of an ameloblastoma. Previously, the defect had been reconstructed by an iliac bone graft, and subsequently, a titanium mesh with xenograft was used. However, it was not successfully reconstructed. For the recovery of mandible continuity and rehabilitation of jaw movement, we manufactured a customized 3-dimensional titanium implant by computer-aided design and manufacturing and electron beam melting technology. This implant was designed to have a porous body structure and lingual plate. The customized implant was accurately inserted in the bony defect. As a result, the patient showed a normal range of mouth opening and jaw movement. New bone migration was observed in the porous structure of the implant. Although there was a slight plate exposure and lack of alveolar bone formation, the customized 3D titanium implant successfully reconstructed the mandibular discontinuous defect and recovered jaw movement. Abstract : Supplemental Digital Content is available in the text