Reconstrução parcial de mandíbula utilizando enxerto de crista ilíaca e planejamento com prototipagem: relato de caso

Abstract

Surgical approaches to mandibular resection inevitably generate sequelae for the patient. Quality of life can be optimized through a set of procedures and surgical techniques that repair defects, restoring function and aesthetics to the patient. Bone grafting associated with good planning and surgical technique increases the favorable prognosis for the patient by reestablishing the anatomy with greater accuracy and lower complication rates. The clinical case in question reports a secondary approach to carry out partial reconstruction of the mandible with non-vascularized bone graft of iliac origin and exchange of fractured fixation means, in the region of the mandibular body on the left, of a female patient who underwent resection segmentation of the mandible due to the diagnosis of myxoma in 2015. At the time, a reconstruction plate was installed and no bone graft was performed. The report emphasizes the importance of carrying out prototyping for the prior manufacture and molding of the new reconstruction plate, as well as better visualization of the areas approached during the surgical procedure. Until the postoperative period under follow-up, the patient progresses with a satisfactory recovery, absence of complications and with an appearance of healing of the manipulated tissues within normal limits