PDF(Pubmed)
Abstract：
An 11-year-old girl presented at the emergency service with a nasal defect caused by a dog bite in the midface. Autologous nose reconstruction in the pediatric population is challenging due to donor site morbidity and remaining facial growth. Temporary prosthetic treatment is difficult to accept due to problems with retention. We present an innovative solution using a 3D printed patient specific titanium implant for support of a nasal prosthesis. With preoperative 3-dimensional planning, the implant can be designed to find fixation in the areas with the best bone quality, avoid potential damage to tooth buds and dental roots and avoid interference to soft tissues such as the nasal septum. Clear communication between the anaplastologist, surgeon and medical engineer is crucial for treatment success. The impact of facial growth is still unclear and will have to be assessed.
摘要：
一名11岁的女孩出现在紧急服务机构，因中脸被狗咬伤而导致鼻缺损。由于供体部位的发病率和剩余的面部生长，儿科人群中的自体鼻重建具有挑战性。由于固位问题，临时修复治疗很难接受。我们提出了一种创新的解决方案，使用3D打印的患者专用钛植入物来支持鼻假体。通过术前三维规划，植入物可以设计为在骨骼质量最好的区域找到固定，避免对牙芽和牙根的潜在损害，并避免干扰软组织，如鼻中隔。间接生学家之间的清晰沟通，外科医生和医学工程师是治疗成功的关键。面部生长的影响尚不清楚，必须进行评估。
