Three-dimensional biomodel in the treatment of bilateral mandibular fracture sequelae: a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.20532

Keywords:

Mandibular Reconstruction; Surgery, Oral; Printing, three-dimensional.

Abstract

Mandibular fractures lead to changes in occlusion, aesthetic deformities and functional alterations, when untreated, their sequelae may cause permanent problems, leading to a more complex treatment than the acute trauma. The treatment offers challenges that can be minimized with the aid of biomodels, printed by 3D technology. This article aims to report a biomodel-assisted surgical procedure for mandibular reconstruction, arguing how these prototypes may help to achieve better outcomes. The patient was involved in an automobile accident and sought treatment for the sequelae of mandibular fractures two years after the initial trauma. The biomodel printing of her mandible allowed for the execution of surgery on the model, reestablishing correct occlusion and facial aesthetics, and helping shorten the surgical time through the pre-bending of reconstruction plates. The patient improved uneventfully. The use of biomodels must be encouraged, especially in cases where the patient shows sequelae, when the anatomical landmarks are compromised, they offer more predictability for treatment outcomes, as described on this case report.

References

Assis, G. M., Silva, S. R. P, Moraes, P. H., Queiroz, J. I., & Silva, J. S. P. (2010). Auxílio de prototipagem na reconstrução mandibular: Caso clínico. Rev. cir. traumatol. buco-maxilo-fac, 10 (3), 013-018.

Fowell, C., Edmondson, S., Martin, T., & Praveen, P. (2015). Rapid prototyping and patient-specific precontoured reconstruction plate for comminuted fractures of the mandible. British Journal of Oral and Maxillofacial Surgery, 53 (10), 1035–1037.

Ghai, S., Sharma, Y., Jain, N., Satpathy, M., & Pillai, A. K. (2018). Use of 3-D printing technologies in. craniomaxillofacial surgery: A review. Oral and Maxillofacial Surgery, 22 (3), 249–259.

Hermund, N. U., Hillerup, S., Kofod, T., Schwartz, O., & Andreasen, J. O. (2008). Effect of early or delayed treatment upon healing of mandibular fractures: A systematic literature review. Dental Traumatology, 24 (1), 22–26.

Hurrell, M. J. L., & Batstone, M. D. (2014). The effect of treatment timing on the management of facial fractures: A systematic review. International Journal of Oral and Maxillofacial Surgery, 43 (8), 944–950.

James, J., Farrell, T., Stevens, M., Looney, S., Faigen, A., & Anderson, J. (2020). Time to open repair of mandibular fractures and associated complications. Journal of Oral and Maxillofacial Surgery, 78 (1), 101–107.

King, B. J., Park, E. P., Christensen, B. J., & Danrad, R. (2018). On-Site 3-Dimensional printing and preoperative adaptation decrease operative time for mandibular fracture repair. Journal of Oral and Maxillofacial Surgery, 76 (9), 1950.e1-1950.e8.

Kraeima, J., Glas, H. H., Witjes, M. J. H., & Schepman, K. P. (2018). Patient-specific pre-contouring of osteosynthesis plates for mandibular reconstruction: Using a three-dimensional key printed solution. Journal of Cranio-Maxillofacial Surgery, 46 (6), 1037–1040.

Larry, L., Cunningham, Jr., Madsen, M.J., & Peterson, G. (2005). Stereolithographic modeling technology applied to tumor resection. J Oral Maxillofac Surg. 63, 873-878.

Lee, U. K., Rojhani, A., Herford, A. S,. & Thakker, J. S. (2016). Immediate versus delayed treatment of mandibular fractures: A stratified analysis of complications. Journal of Oral and Maxillofacial Surgery, 74 (6), 1186–1196.

Lucca, M., Shastri, K., McKenzie, W., Kraus, J., Finkelman, M., & Wein, R. (2010). Comparison of treatment outcomes associated with early versus late treatment of mandible fractures: A retrospective chart review and analysis. Journal of Oral and Maxillofacial Surgery, 68 (10), 2484–2488.

Miloro M., Ghali G. E., Larse P. E., & Waite P. D. Tratamento contemporâneo das fraturas mandibulares in Princípios de Cirurgia Bucomaxilofacial de Peterson.

Pickrell, B. B., & Hollier, L. H. (2017). Evidence-based medicine: Mandible Fractures. Plastic and Reconstructive Surgery, 140, 192e-200e.

Prisman, E., Haerle, S. K., Irish J. C., Daly M., Miles B., & Chan H. (2014). Value of preoperative mandibular plating in reconstruction of the mandible. Head Neck, 36 (6):828-33.

Ramanathan, M., Panneerselvam, E., Krishna K., & Raja, V. B. (2020). 3D planning in mandibular fractures using CAD/CAM surgical splints — A prospective randomized controlled clinical trial. Journal of Cranio-Maxillofacial Surgery, 48 (4), 405–412.

Reddy, L., Lee, D., Vincent, A., Shokri, T., Sokoya, M., & Ducic, Y. (2019). Secondary Management of Mandible Fractures. Facial Plastic Surgery, 35 (6), 627–632.

Ruela, W. S., Almeida, V. L., & Lima-Rivera, L. M. (2018). Does an association exist between the presence of lower third molar and mandibular angle fractures? A meta-analysis. Journal of Oral and Maxillofacial Surgery, 76 (1), 34-45.

Sinha, P., Skolnick, G., Patel, K. B., Branham, G. H., & Chi, J. J. (2018). A 3-dimensional–printed short-segment template prototype for mandibular fracture repair. JAMA Facial Plastic Surgery, 20 (5), 373–380.

Stone, N., Corneman, A., Sandre, A. R., Farrokhyar, F., Thoma, A., & Cooper, M. J. (2018). Treatment delay impact on open reduction internal fixation of mandibular fractures: A systematic review. Plastic and Reconstructive Surgery - Global Open, 6 (6), 1–11.

Velasco, I., Vahdani, S., & Ramos, H. (2017). Low-cost method for obtaining medical rapid prototyping using desktop 3D printing: A novel technique for mandibular reconstruction planning. Journal of Clinical and Experimental Dentistry, 9 (9), e1103–e1108.

Downloads

Published

01/11/2021

How to Cite

OLIVEIRA, E. R. da S. .; SANTOS, J. W. de M.; SANTOS, T. M. dos .; SILVEIRA, M. L. M. da; CHAVES NETO, H. P.; LOPES, H. J. C.; GERMANO, A. R. Three-dimensional biomodel in the treatment of bilateral mandibular fracture sequelae: a case report. Research, Society and Development, [S. l.], v. 10, n. 14, p. e284101420532, 2021. DOI: 10.33448/rsd-v10i14.20532. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20532. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences