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Bone and Skin-Supported Stereolithographic Surgical Guides for Cranio-Facial Implant Placement

Journal of Maxillofacial and Oral Surgery volume 15, pages 76–81 (2016)Cite this article

Abstract

Purpose

Osseointegrated skin-penetrating implants enhance the retention and stability of the craniofacial prostheses and provide the long-term comfort. However, to determine the implant locations is a great challenge facing the surgeon. Implants may either be located in conventional manner or by STL generated surgical guides.

Materials and Methods

Present study reports the CT based 3D virtual modeling, preoperative virtual planning and the implant placement by using a STL surgical guide, in an anotia case.

Results

Employed materials and the methods facilitated the implant surgery while improving the operational security.

Conclusions

CT based 3D virtual modeling of the surgical site, determining the implant locations virtually and the STL guided placement of the craniofacial implants, were found useful applications in order to facilitating the surgical intervention and providing prevention from complications.

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References

  1. Federspil PA (2009) Implant-retained craniofacial prostheses for facial defects. Laringorhinootologie 88(Suppl 1):125–138

    Article  Google Scholar 

  2. Gentile P, Bottini DJ, Colicchia GM, Trimarco A, Cervelli V (2008) Burns: bone-anchored, extra-oral implantology. J Burn Care Res 29:627–631

    Article  PubMed  Google Scholar 

  3. Nanda A, Jain V, Kumar R, Kabra K (2011) Implant supported auricular prosthesis. Indian J Dent Res 22:152–156

    Article  PubMed  Google Scholar 

  4. Somers T, De Cubber J, Govaerts P, Offeciers FE (1998) Total auricular repair: bone anchored prosthesis or plastic reconstruction? Acta Otorhinolaryngol Belg 52:317–327

    CAS  PubMed  Google Scholar 

  5. Pravinkumar G, Patil MDS (2010) Modified technique to fabricate a hollow light-weight facial prosthesis for lateral midfacial defect: a clinical report. J Adv Prosthodont 2:65–70

    Article  Google Scholar 

  6. Padmanabhan TV, Mohamed K, Parameswari D, Nitin SK (2012) Prosthetic rehabilitation of an orbital and facial defect: a clinical report. J Prosthodont 21:200–204

    Article  CAS  PubMed  Google Scholar 

  7. Nagaraj E, Shetty M, Krishna PD (2011) Definitive magnetic nasal prosthesis for partial nasal defect. Indian J Dent Res 22:597–599

    Article  CAS  PubMed  Google Scholar 

  8. Shaikh SR, Patil PG, Puri S (2011) A modified technique for retention of orbital prosthesis. Indian J Dent Res 22:863–865

    Article  PubMed  Google Scholar 

  9. Jain S, Maru K, Shukla J, Vyas A, Pillai R, Jain P (2011) Nasal prosthesis rehabilitation: a case report. J Indian Prosthodont Soc 11:265–269

    PubMed Central  Article  CAS  PubMed  Google Scholar 

  10. Ciocca L, Maremonti P, Bianchi B, Scotti R (2007) Maxillofacial rehabilitation after rhinectomy using two different treatment options: clinical reports. J Oral Rehabil 34:311–315

    Article  CAS  PubMed  Google Scholar 

  11. Ciocca L, Fantini M, De Crescenzio F, Persiani F, Scotti R (2010) New protocol for construction of eyeglasses supported provisional nasal prosthesis using CAD/CAM techniques. J Rehabil Res Dev 47:595–604

    Article  PubMed  Google Scholar 

  12. Hatamleh MM, Haylock C, Watson J, Watts DC (2010) Maxillofacial prosthetic rehabilitation in the UK: a survey of maxillofacial prosthetists’ and technologists’ attitudes and opinions. Int J Oral Maxillofac Surg 39:1186–1192

    Article  CAS  PubMed  Google Scholar 

  13. Kiat-amnuay S, Waters PJ, Roberts D, Gettleman L (2008) Adhesive retention of silicone and chlorinated polyethylene for maxillofacial prostheses. J Prosthet Dent 99:483–488

    Article  CAS  PubMed  Google Scholar 

  14. Hecker DM (2003) Maxillofacial rehabilitation of a large facial defect resulting from an arteriovenous malformation utilizing a two-piece prosthesis. J Prosthet Dent 89:109–113

    Article  PubMed  Google Scholar 

  15. Akman S, Kalayci A, Ataoğlu H, Aykent F (2011) Complex midfacial reconstruction with an implant-supported framework. J Craniofac Surg 22:724–726

    Article  PubMed  Google Scholar 

  16. Leonardi A, Buonaccorsi S, Pellacchia V, Moricca LM, Indrizzi E, Fini G (2008) Maxillofacial prosthetic rehabilitation using extraoral implants. J Craniofac Surg 19:398–405

    Article  PubMed  Google Scholar 

  17. Karakoca S, Aydin C, Yilmaz H, Bal BT (2010) Retrospective study of treatment outcomes with implant-retained extraoral prostheses: survival rates and prosthetic complications. J Prosthet Dent 103:118–126

    Article  PubMed  Google Scholar 

  18. Federspil PA (2010) Auricular prostheses. Adv Otorhinolaryngol 68:65–80

    PubMed  Google Scholar 

  19. Mello MC, Piras JA, Takimoto RM, Cervantes O, Abraão M, Dib LL (2012) Facial reconstruction with a bone-anchored prosthesis following destructive cancer surgery. Oncol Lett 4:682–684

    PubMed Central  PubMed  Google Scholar 

  20. Postema N, van Waas MA, van Lokven J (1994) Procedure for fabrication of an implant-supported auricular prosthesis. J Invest Surg 7:305–320

    Article  CAS  PubMed  Google Scholar 

  21. Charpiot A, Chambres O, Herve JF, Million P, Riedinger AM, Hemar P (2006) Osteointegrated cranio-facial implants: 49 patients report. Rev Laryngol Otol Rhinol 127:217–222

    CAS  Google Scholar 

  22. Konstantinović VS, Lazić VM, Stefan I (2010) Nasal epithesis retained by basal (disk) implants. J Craniofac Surg 21:33–36

    Article  PubMed  Google Scholar 

  23. Toljanic JA, Eckert SE, Roumanas E, Beumer J, Huryn JM, Zlotolow IM, Reisberg DJ, Habakuk SW, Wriht RF, Rubenstein JE, Schneid TR, Mulasseril P, Garcia LT, Bedard JF, Choi YG (2005) Osseointegrated craniofacial implants in the rehabilitation of orbital defects: an update of a retrospective experience in the United States. J Prosthet Dent 94:177–182

    Article  PubMed  Google Scholar 

  24. Gurbuz A, Kalkan M, Ozturk AN, Eskitascioglu G (2004) Nasal prosthesis rehabilitation: a case report. Quintessence Int 35:655–656

    PubMed  Google Scholar 

  25. Guttal SS, Patil NP, Thakur S, Kumar S, Kulkarni SS (2009) Implant-retained nasal prosthesis for a patient following partial rhinectomy: a clinical report. J Prosthodont 18:353–358

    Article  PubMed  Google Scholar 

  26. Kurtulmus H, Cotert HS, Guneri P (2009) CT-based planning and 3-D modeling for craniofacial implant placement: a technical note. Int J Oral Maxillofac Implants 24:943–946

    PubMed  Google Scholar 

  27. Federspil PA (2010) Craniofacial prostheses for facial defects. HNO 58:621–631

    Article  CAS  PubMed  Google Scholar 

  28. Klein M, Hein A, Lueth T, Bier J (2003) Robot-assisted placement of craniofacial implants. Int J Oral Maxillofac Implants 18:712–718

    PubMed  Google Scholar 

  29. Cheng AC, Morrison D, Cho RS, Archibald D (1998) Vacuum-formed matrix as a guide for the fabrication of craniofacial implant tissue bar-retained auricular prostheses. J Prosthet Dent 79:711–714

    Article  CAS  PubMed  Google Scholar 

  30. Coward TJ, Watson RM, Wilkinson IC (1999) Fabrication of a wax ear by rapid-process modeling using stereolithography. Int J Prosthodont 12:20–27

    CAS  PubMed  Google Scholar 

  31. Germec-Cakan D, Canter HI, Nur B, Arun T (2010) Comparison of facial soft tissue measurements on three-dimensional images and models obtained with different methods. J Craniofac Surg 21:1393–1399

    Article  PubMed  Google Scholar 

  32. Cheah CM, Chua CK, Tan KH (2003) Integration of lazer surface digitizing with CAD/CAM techniques for developing facial prostheses. Part 2: development of molding techniques for casting prosthetic parts. Int J Prosthodont 16:543–548

    PubMed  Google Scholar 

  33. Kling-Petersen T, Rydmark M (2000) Modeling and modification of medical 3D objects. The benefit of using a haptic modeling tool. Stud Health Technol Inform 70:162–167

    CAS  PubMed  Google Scholar 

  34. Norton MR, Gamble C (2001) Bone classification: an objective scale of bone density using the computerized tomography scan. Clin Oral Implants Res 12:79–84

    Article  CAS  PubMed  Google Scholar 

  35. Reitemeier B, Notni G, Heinze M, Schöne C, Schmidt A, Fichtner D (2004) Optical modeling of extraoral defects. J Prosthet Dent 91:80–84

    Article  PubMed  Google Scholar 

  36. Alfano SG, Robinson RF, Webber CM, Erickson KK (2005) Fabrication of a craniofacial implant: surgical and treatment planning guide. J Prosthet Dent 93:91–94

    Article  PubMed  Google Scholar 

  37. Verdonck HWD, Poukens J, Overveld HV, Riediger D (2003) Computer assisted maxillofacial prosthodontics: a new treatment protocol. Int J Prosthodont 16:326–328

    PubMed  Google Scholar 

  38. Girod S, Keeve E, Girod B (1995) Advances in interactive craniofacial surgery planning by 3D simulation and visualization. Int J Oral Maxillofac Surg 24:120–125

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

Authors would like to thank Mr. Murat Eğri from 4C Medikal Ltd (Esenler, İstanbul, Turkey) for his kind collaboration.

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Affiliations

  1. Department of Prosthodontics, Faculty of Dentistry, Ege University, 35100, Bornova, Izmir, Turkey

    Hamit Serdar Çötert

  2. Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Dokuz Eylül University, 35330, İnciraltı, Izmir, Turkey

    Mustafa Yılmaz

Authors
  1. Hamit Serdar Çötert
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  2. Mustafa Yılmaz
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Correspondence to Hamit Serdar Çötert.

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Çötert, H.S., Yılmaz, M. Bone and Skin-Supported Stereolithographic Surgical Guides for Cranio-Facial Implant Placement. J. Maxillofac. Oral Surg. 15, 76–81 (2016). https://doi.org/10.1007/s12663-015-0804-3

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  • DOI: https://doi.org/10.1007/s12663-015-0804-3

Keywords

  • Facial Prosthesis
  • Craniofacial Implant
  • Surgical Guide
  • Virtual Planning
  • Stereolithography