Total mandibular titanium prosthesis in a child
Carregando...
Data
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Minas Gerais
Descrição
Tipo
Artigo de periódico
Título alternativo
Primeiro orientador
Membros da banca
Resumo
Objectives: The aim of this study was to report a case of a six-year-old child with the diagnosis of Gorham-Stout syndrome, presenting without the complete mandible. The patient was breathing because an acrylic device was projecting the muscles, but is sustained a local infection.
Methods: The mandibular reconstruction was planned using computer-aided design/computer-aided manufacturing (CAD/CAM) technology. The skull of the patient was used to design and manufacture the customised total mandibular prosthesis with two temporomandibular joint fossae. CAD of the surgical devices used NX 10.0 software (Siemens, Plano, Texas, United States of America). The authors assumed that this design would maximise aesthetics, mandibular projection, facial height and future growth. The virtual designed mandible was submitted to a topological optimisation and finite element analysis in order to remove excess material and improve stiffness of the mandible.
Findings: The final result was a mandible weighing 59g with two fossae for articulation and with threaded holes for future implant insertions and dental rehabilitation. Surgery and postoperative follow-up was uneventful. The patient resumed normal functions at the first postoperative day, with decrease morbidity when compared to microvascular grafts. No bone grafts were used.
Conclusion: The project of this mandible may benefit many others patients which sustain serious mandibular defects, providing less morbidity and allowing for total mandibular and dental rehabilitation.
Abstract
Assunto
Mandibular prosthesis, Osteolysis, essential, Mandible
Palavras-chave
Citação
Departamento
Curso
Endereço externo
https://www.ijoms.com/article/S0901-5027(17)30696-3/fulltext