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3D-Printed Surgical Positioning Rib Graft Jig in Combined Orthodontic-Surgical Management of Pruzansky/Kaban Type IIB and Type III Hemifacial Microsomia

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3D Printing in Oral Health Science

Abstract

Costochondral grafts (CCG) are considered the best method for condylar reconstruction in young children with Pruzansky/Kaban type IIB and type III HFM. This orthodontic-surgical intervention immediately corrects the facial asymmetry by eliminating the hypoplastic mandible and the negative influence on the normal maxillary growth simultaneously with ramus height restoration. However, CCG precise surgical positioning is a challenge in these patients due to mandibular hypoplasia when the glenoid fossa is difficult to identify, or it might be absent. The aim of the 3D-printed jig is to manage the precise suitable placement position and fixation of the costochondral rib graft in relation to the contralateral unaffected temporomandibular joint and soft tissues. The jig may preserve the rib’s cartilage cap, prevent fractures at the costochondral junction, and result in a decrease in the risk of interference of cartilage growth.

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Correspondence to Dror Aizenbud .

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Aizenbud, D. et al. (2022). 3D-Printed Surgical Positioning Rib Graft Jig in Combined Orthodontic-Surgical Management of Pruzansky/Kaban Type IIB and Type III Hemifacial Microsomia. In: Chaudhari, P.K., Bhatia, D., Sharan, J. (eds) 3D Printing in Oral Health Science. Springer, Cham. https://doi.org/10.1007/978-3-031-07369-4_9

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  • DOI: https://doi.org/10.1007/978-3-031-07369-4_9

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-07369-4

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