Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap
Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the arch...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Mertens, Christian [verfasserIn] Löwenheim, Hubert - 1964- [verfasserIn] Hoffmann, Jürgen - 1965- [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
April 2013 |
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| Schlagwörter: |
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| Anmerkung: |
Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 |
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| Umfang: |
7 |
| Übergeordnetes Werk: |
Enthalten in: Journal of cranio-maxillofacial surgery - Oxford [u.a.] : Elsevier, 1987, 41(2013), 3, Seite 219-225 |
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| Übergeordnetes Werk: |
volume:41 ; year:2013 ; number:3 ; pages:219-225 ; extent:7 |
| Links: |
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| DOI / URN: |
10.1016/j.jcms.2012.09.003 |
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1585109657 |
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| 245 | 1 | 0 | |a Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap |c Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann |
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| 520 | |a Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. | ||
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| 650 | 4 | |a Image data based reconstruction | |
| 650 | 4 | |a Patient-specific implant | |
| 650 | 4 | |a Reconstruction midface | |
| 650 | 4 | |a Vascularized scapular flap | |
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10.1016/j.jcms.2012.09.003 doi (DE-627)1585109657 (DE-576)515109657 (DE-599)BSZ515109657 (OCoLC)1341027048 DE-627 ger DE-627 rda eng Mertens, Christian verfasserin (DE-588)1091595992 (DE-627)852487223 (DE-576)461744317 aut Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann April 2013 7 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Dental implants Image data based reconstruction Patient-specific implant Reconstruction midface Vascularized scapular flap Löwenheim, Hubert 1964- verfasserin (DE-588)114346003 (DE-627)523318073 (DE-576)289794021 aut Hoffmann, Jürgen 1965- verfasserin (DE-588)1032524456 (DE-627)738520063 (DE-576)380087189 aut Enthalten in Journal of cranio-maxillofacial surgery Oxford [u.a.] : Elsevier, 1987 41(2013), 3, Seite 219-225 Online-Ressource (DE-627)320479218 (DE-600)2009565-X (DE-576)10374696X 1878-4119 nnns volume:41 year:2013 number:3 pages:219-225 extent:7 http://dx.doi.org/10.1016/j.jcms.2012.09.003 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S1010518212001965 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 41 2013 3 219-225 7 2013 01 DE-16-250 303776242X 00 --%%-- --%%-- --%%-- --%%-- l01 12-12-18 2013 01 DE-16-250 00 s hd2013 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_3 2013 01 DE-16-250 03 s s_7 2013 01 DE-16-250 04 p (DE-627)1513172336 Mertens, Christian 2013 01 DE-16-250 04 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1450086829 Hoffmann, Jürgen 2013 01 DE-16-250 05 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_3 |
| spelling |
10.1016/j.jcms.2012.09.003 doi (DE-627)1585109657 (DE-576)515109657 (DE-599)BSZ515109657 (OCoLC)1341027048 DE-627 ger DE-627 rda eng Mertens, Christian verfasserin (DE-588)1091595992 (DE-627)852487223 (DE-576)461744317 aut Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann April 2013 7 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Dental implants Image data based reconstruction Patient-specific implant Reconstruction midface Vascularized scapular flap Löwenheim, Hubert 1964- verfasserin (DE-588)114346003 (DE-627)523318073 (DE-576)289794021 aut Hoffmann, Jürgen 1965- verfasserin (DE-588)1032524456 (DE-627)738520063 (DE-576)380087189 aut Enthalten in Journal of cranio-maxillofacial surgery Oxford [u.a.] : Elsevier, 1987 41(2013), 3, Seite 219-225 Online-Ressource (DE-627)320479218 (DE-600)2009565-X (DE-576)10374696X 1878-4119 nnns volume:41 year:2013 number:3 pages:219-225 extent:7 http://dx.doi.org/10.1016/j.jcms.2012.09.003 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S1010518212001965 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 41 2013 3 219-225 7 2013 01 DE-16-250 303776242X 00 --%%-- --%%-- --%%-- --%%-- l01 12-12-18 2013 01 DE-16-250 00 s hd2013 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_3 2013 01 DE-16-250 03 s s_7 2013 01 DE-16-250 04 p (DE-627)1513172336 Mertens, Christian 2013 01 DE-16-250 04 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1450086829 Hoffmann, Jürgen 2013 01 DE-16-250 05 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_3 |
| allfields_unstemmed |
10.1016/j.jcms.2012.09.003 doi (DE-627)1585109657 (DE-576)515109657 (DE-599)BSZ515109657 (OCoLC)1341027048 DE-627 ger DE-627 rda eng Mertens, Christian verfasserin (DE-588)1091595992 (DE-627)852487223 (DE-576)461744317 aut Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann April 2013 7 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Dental implants Image data based reconstruction Patient-specific implant Reconstruction midface Vascularized scapular flap Löwenheim, Hubert 1964- verfasserin (DE-588)114346003 (DE-627)523318073 (DE-576)289794021 aut Hoffmann, Jürgen 1965- verfasserin (DE-588)1032524456 (DE-627)738520063 (DE-576)380087189 aut Enthalten in Journal of cranio-maxillofacial surgery Oxford [u.a.] : Elsevier, 1987 41(2013), 3, Seite 219-225 Online-Ressource (DE-627)320479218 (DE-600)2009565-X (DE-576)10374696X 1878-4119 nnns volume:41 year:2013 number:3 pages:219-225 extent:7 http://dx.doi.org/10.1016/j.jcms.2012.09.003 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S1010518212001965 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 41 2013 3 219-225 7 2013 01 DE-16-250 303776242X 00 --%%-- --%%-- --%%-- --%%-- l01 12-12-18 2013 01 DE-16-250 00 s hd2013 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_3 2013 01 DE-16-250 03 s s_7 2013 01 DE-16-250 04 p (DE-627)1513172336 Mertens, Christian 2013 01 DE-16-250 04 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1450086829 Hoffmann, Jürgen 2013 01 DE-16-250 05 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_3 |
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10.1016/j.jcms.2012.09.003 doi (DE-627)1585109657 (DE-576)515109657 (DE-599)BSZ515109657 (OCoLC)1341027048 DE-627 ger DE-627 rda eng Mertens, Christian verfasserin (DE-588)1091595992 (DE-627)852487223 (DE-576)461744317 aut Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann April 2013 7 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Dental implants Image data based reconstruction Patient-specific implant Reconstruction midface Vascularized scapular flap Löwenheim, Hubert 1964- verfasserin (DE-588)114346003 (DE-627)523318073 (DE-576)289794021 aut Hoffmann, Jürgen 1965- verfasserin (DE-588)1032524456 (DE-627)738520063 (DE-576)380087189 aut Enthalten in Journal of cranio-maxillofacial surgery Oxford [u.a.] : Elsevier, 1987 41(2013), 3, Seite 219-225 Online-Ressource (DE-627)320479218 (DE-600)2009565-X (DE-576)10374696X 1878-4119 nnns volume:41 year:2013 number:3 pages:219-225 extent:7 http://dx.doi.org/10.1016/j.jcms.2012.09.003 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S1010518212001965 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 41 2013 3 219-225 7 2013 01 DE-16-250 303776242X 00 --%%-- --%%-- --%%-- --%%-- l01 12-12-18 2013 01 DE-16-250 00 s hd2013 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_3 2013 01 DE-16-250 03 s s_7 2013 01 DE-16-250 04 p (DE-627)1513172336 Mertens, Christian 2013 01 DE-16-250 04 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1450086829 Hoffmann, Jürgen 2013 01 DE-16-250 05 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_3 |
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10.1016/j.jcms.2012.09.003 doi (DE-627)1585109657 (DE-576)515109657 (DE-599)BSZ515109657 (OCoLC)1341027048 DE-627 ger DE-627 rda eng Mertens, Christian verfasserin (DE-588)1091595992 (DE-627)852487223 (DE-576)461744317 aut Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann April 2013 7 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Dental implants Image data based reconstruction Patient-specific implant Reconstruction midface Vascularized scapular flap Löwenheim, Hubert 1964- verfasserin (DE-588)114346003 (DE-627)523318073 (DE-576)289794021 aut Hoffmann, Jürgen 1965- verfasserin (DE-588)1032524456 (DE-627)738520063 (DE-576)380087189 aut Enthalten in Journal of cranio-maxillofacial surgery Oxford [u.a.] : Elsevier, 1987 41(2013), 3, Seite 219-225 Online-Ressource (DE-627)320479218 (DE-600)2009565-X (DE-576)10374696X 1878-4119 nnns volume:41 year:2013 number:3 pages:219-225 extent:7 http://dx.doi.org/10.1016/j.jcms.2012.09.003 Verlag Resolving-System Volltext http://www.sciencedirect.com/science/article/pii/S1010518212001965 Verlag Volltext GBV_USEFLAG_U GBV_ILN_2013 ISIL_DE-16-250 SYSFLAG_1 GBV_KXP GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 AR 41 2013 3 219-225 7 2013 01 DE-16-250 303776242X 00 --%%-- --%%-- --%%-- --%%-- l01 12-12-18 2013 01 DE-16-250 00 s hd2013 2013 01 DE-16-250 01 s (DE-627)1410508463 wissenschaftlicher Artikel (Zeitschrift) 2013 01 DE-16-250 02 s per_3 2013 01 DE-16-250 03 s s_7 2013 01 DE-16-250 04 p (DE-627)1513172336 Mertens, Christian 2013 01 DE-16-250 04 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 04 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 04 s pos_1 2013 01 DE-16-250 05 p (DE-627)1450086829 Hoffmann, Jürgen 2013 01 DE-16-250 05 k (DE-627)1416741097 Universitätsklinik für Mund-, Zahn- und Kieferkrankheiten 2013 01 DE-16-250 05 s (DE-627)1410501914 Verfasser 2013 01 DE-16-250 05 s pos_3 |
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Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap |
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Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap Christian Mertens, Hubert Löwenheim, Jürgen Hoffmann |
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image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap |
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Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap |
| abstract |
Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 |
| abstractGer |
Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 |
| abstract_unstemmed |
Background: Secondary reconstructions in case of complex craniofacial defects of the midface, following radical tumour surgery, often require individualized surgical techniques. To achieve a satisfying functional and aesthetic outcome various anatomical aspects have to be considered such as the architecture of the bony structures as well as the very special shape of the orbit. Bone grafting is particularly challenging under these conditions, and one single graft type can hardly fulfil all anatomical demands. The presented method aims at combining a free microvascular bone graft and a preoperatively planned patient-specific alloplastic implant which takes into account all anatomic requirements as well as a functional rehabilitation including dental restoration. Case report: By means of the described treatment approach, complex midfacial defects are reconstructed on the base of preoperative computer-assisted three-dimensional planning, a patient-specific prefabricated implant and a free vascularized bone transplant. A three-dimensional planning platform was used to create a mirror image of the unaffected contralateral side that was superimposed on the defect side referring to a virtual sagittal plane. The planned donor site of the scapula was then virtually matched into an ideal anatomic position considering all functional and aesthetical aspects, including a later implant based prosthodontic rehabilitation. By use of these virtual outlines, an individual titanium implant was manufactured to provide both for midfacial support and a graft fixture in a position, which was close to original. Intraoperative optical navigation was used to assess the accurate position of the implant with special regard to a correct reconstruction of the orbit. An implantologic rehabilitation could be achieved. Conclusion: The technique presented offers an ideal combination of a patient-specific alloplastic implant for the reconstruction of the very demanding orbital anatomy in combination with a scapular flap offering a sufficient bone stock for an implant based prosthodontic rehabilitation. Available online 13 October 2012 Online 13 October 2012 Gesehen am 12.12.2018 |
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Image data based reconstruction of the midface using a patient-specific implant in combination with a vascularized osteomyocutaneous scapular flap |
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http://dx.doi.org/10.1016/j.jcms.2012.09.003 http://www.sciencedirect.com/science/article/pii/S1010518212001965 |
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