The role of computer-assisted design and modeling in an edentulous mandibular malunion reconstruction.
Identifieur interne : 002145 ( Main/Exploration ); précédent : 002144; suivant : 002146The role of computer-assisted design and modeling in an edentulous mandibular malunion reconstruction.
Auteurs : Justin Michael Broyles [États-Unis] ; Christoph Wallner ; Daniel E. Borsuk ; Amir H. DorafsharSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2013.
Descripteurs français
- KwdFr :
- Cals vicieux (), Cals vicieux (imagerie diagnostique), Chutes accidentelles, Conception assistée par ordinateur, Fractures mandibulaires (), Fractures mandibulaires (imagerie diagnostique), Humains, Imagerie tridimensionnelle, Mâchoire édentée (), Mâchoire édentée (imagerie diagnostique), Mâle, Reconstruction mandibulaire (), Sujet âgé, Tomodensitométrie.
- MESH :
English descriptors
- KwdEn :
- Accidental Falls, Aged, Computer-Aided Design, Fractures, Malunited (diagnostic imaging), Fractures, Malunited (surgery), Humans, Imaging, Three-Dimensional, Jaw, Edentulous (diagnostic imaging), Jaw, Edentulous (surgery), Male, Mandibular Fractures (diagnostic imaging), Mandibular Fractures (surgery), Mandibular Reconstruction (methods), Tomography, X-Ray Computed.
- MESH :
- diagnostic imaging : Fractures, Malunited, Jaw, Edentulous, Mandibular Fractures.
- methods : Mandibular Reconstruction.
- surgery : Fractures, Malunited, Jaw, Edentulous, Mandibular Fractures.
- Accidental Falls, Aged, Computer-Aided Design, Humans, Imaging, Three-Dimensional, Male, Tomography, X-Ray Computed.
Abstract
Mandibular trauma is a common problem encountered by the craniofacial surgeon. Fractures in the edentulous mandible represent only 3% of these injuries, and optimal management is controversial. This problem is further compounded by malunion and malocclusion when fracture lines heal in incorrect positions. Even with recent advances in imaging and hardware systems, they remain difficult problems that often require multiple operations to obtain satisfactory results. We present a 69-year-old man with an edentulous mandibular fracture and concomitant malocclusion after a series of unsuccessful operations. By using computer-assisted design and manufacturing technology, we were able to plan osteotomies for correct anatomic positioning, which restored dental occlusion and facial aesthetics. A follow-up at 6 months postoperatively revealed a stable and anatomic reconstruction.
DOI: 10.1097/SCS.0b013e3182997f50
PubMed: 24036792
Affiliations:
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Borsuk</name></author><author><name sortKey="Dorafshar, Amir H" sort="Dorafshar, Amir H" uniqKey="Dorafshar A" first="Amir H" last="Dorafshar">Amir H. Dorafshar</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24036792</idno><idno type="pmid">24036792</idno><idno type="doi">10.1097/SCS.0b013e3182997f50</idno><idno type="wicri:Area/PubMed/Corpus">000E10</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000E10</idno><idno type="wicri:Area/PubMed/Curation">000E10</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000E10</idno><idno type="wicri:Area/PubMed/Checkpoint">000E10</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000E10</idno><idno type="wicri:Area/Ncbi/Merge">004983</idno><idno type="wicri:Area/Ncbi/Curation">004983</idno><idno type="wicri:Area/Ncbi/Checkpoint">004983</idno><idno type="wicri:Area/Main/Merge">002155</idno><idno type="wicri:Area/Main/Curation">002145</idno><idno type="wicri:Area/Main/Exploration">002145</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The role of computer-assisted design and modeling in an edentulous mandibular malunion reconstruction.</title><author><name sortKey="Broyles, Justin Michael" sort="Broyles, Justin Michael" uniqKey="Broyles J" first="Justin Michael" last="Broyles">Justin Michael Broyles</name><affiliation wicri:level="2"><nlm:affiliation>From the Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital, Baltimore, MD.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>From the Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Wallner, Christoph" sort="Wallner, Christoph" uniqKey="Wallner C" first="Christoph" last="Wallner">Christoph Wallner</name></author><author><name sortKey="Borsuk, Daniel E" sort="Borsuk, Daniel E" uniqKey="Borsuk D" first="Daniel E" last="Borsuk">Daniel E. Borsuk</name></author><author><name sortKey="Dorafshar, Amir H" sort="Dorafshar, Amir H" uniqKey="Dorafshar A" first="Amir H" last="Dorafshar">Amir H. Dorafshar</name></author></analytic><series><title level="j">The Journal of craniofacial surgery</title><idno type="eISSN">1536-3732</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Computer-Aided Design</term><term>Fractures, Malunited (diagnostic imaging)</term><term>Fractures, Malunited (surgery)</term><term>Humans</term><term>Imaging, Three-Dimensional</term><term>Jaw, Edentulous (diagnostic imaging)</term><term>Jaw, Edentulous (surgery)</term><term>Male</term><term>Mandibular Fractures (diagnostic imaging)</term><term>Mandibular Fractures (surgery)</term><term>Mandibular Reconstruction (methods)</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Cals vicieux ()</term><term>Cals vicieux (imagerie diagnostique)</term><term>Chutes accidentelles</term><term>Conception assistée par ordinateur</term><term>Fractures mandibulaires ()</term><term>Fractures mandibulaires (imagerie diagnostique)</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Mâchoire édentée ()</term><term>Mâchoire édentée (imagerie diagnostique)</term><term>Mâle</term><term>Reconstruction mandibulaire ()</term><term>Sujet âgé</term><term>Tomodensitométrie</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Fractures, Malunited</term><term>Jaw, Edentulous</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Cals vicieux</term><term>Fractures mandibulaires</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mandibular Reconstruction</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Fractures, Malunited</term><term>Jaw, Edentulous</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Computer-Aided Design</term><term>Humans</term><term>Imaging, Three-Dimensional</term><term>Male</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Cals vicieux</term><term>Chutes accidentelles</term><term>Conception assistée par ordinateur</term><term>Fractures mandibulaires</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Mâchoire édentée</term><term>Mâle</term><term>Reconstruction mandibulaire</term><term>Sujet âgé</term><term>Tomodensitométrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Mandibular trauma is a common problem encountered by the craniofacial surgeon. Fractures in the edentulous mandible represent only 3% of these injuries, and optimal management is controversial. This problem is further compounded by malunion and malocclusion when fracture lines heal in incorrect positions. Even with recent advances in imaging and hardware systems, they remain difficult problems that often require multiple operations to obtain satisfactory results. We present a 69-year-old man with an edentulous mandibular fracture and concomitant malocclusion after a series of unsuccessful operations. By using computer-assisted design and manufacturing technology, we were able to plan osteotomies for correct anatomic positioning, which restored dental occlusion and facial aesthetics. A follow-up at 6 months postoperatively revealed a stable and anatomic reconstruction.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><noCountry><name sortKey="Borsuk, Daniel E" sort="Borsuk, Daniel E" uniqKey="Borsuk D" first="Daniel E" last="Borsuk">Daniel E. Borsuk</name><name sortKey="Dorafshar, Amir H" sort="Dorafshar, Amir H" uniqKey="Dorafshar A" first="Amir H" last="Dorafshar">Amir H. Dorafshar</name><name sortKey="Wallner, Christoph" sort="Wallner, Christoph" uniqKey="Wallner C" first="Christoph" last="Wallner">Christoph Wallner</name></noCountry><country name="États-Unis"><region name="Maryland"><name sortKey="Broyles, Justin Michael" sort="Broyles, Justin Michael" uniqKey="Broyles J" first="Justin Michael" last="Broyles">Justin Michael Broyles</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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