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Post-oncological and Post-traumatic Maxillary Reconstruction

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Based on developments since the 1990s, the routine clinical application of comprehensive 3D planning and simulation combined with rapid prototyping for the fabrication of individualized implants has been gaining in significance. While the technical expenditure in the early stage required extensive engineering knowledge and skills, the “usability” of these techniques is clearly improved nowadays and even sophisticated workflows are not limited to specialized university hospitals any more.

This chapter illustrates the following maxillofacial casuistics:

  1. 1.

    Point-to-point navigation-assisted repositioning of the zygoma by means of pre-bent osteosynthesis plates.

  2. 2.

    Complex orbital reconstruction after a comminuted fracture using a combination of titanium mesh and synthetic material, accompanied by intraoperative navigation.

  3. 3.

    Correction of midfacial deformity (hypoplasia) by means of individualized polyether-ether-ketone (PEEK) implants.

  4. 4.

    Maxillary reconstruction with prefabricated vascularized free fibula flap with dental implants already inserted before harvesting the flap.

The presented concepts are illustrative and can be adapted to a variety of treatment workflows in maxillofacial surgery with reasonable expenditure and resources.


Based on original research published with/by Arnulf Baumann, Rolf Ewers, Clemens Klug, Emeka Nkenke, Franz Watzinger.

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Schicho, K., Guevara Rojas, G. (2023). Post-oncological and Post-traumatic Maxillary Reconstruction. In: Rinaldi, M. (eds) Implants and Oral Rehabilitation of the Atrophic Maxilla. Springer, Cham.

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