关键词: Craniofacial reconstruction Odontogenic fibromyxoma Patient specific implant Segmental resection

来  源:   DOI:10.1016/j.ijscr.2024.109972   PDF(Pubmed)

Abstract:
BACKGROUND: Odontogenic fibromyxoma (OFM) is a round and locally invasive neoplasm predominantly seen in the mandible. Though radiographic appearance is variable, definitive diagnosis is based on correlation with histopathological examination. Surgical approach is the treatment of choice. For reconstruction, patient-specific implant (PSI) has lately been developed as a crucial help.
METHODS: This case report presents a 19 year old female patient with odontogenic fibromyxoma highlighting its clinical, radiographic, histopathological features along with rehabilitation using patient specific implants reducing the complexity and related morbidities of reconstructive procedures.
CONCLUSIONS: Surgical repair and reconstruction of defects in cranio-maxillofacial region is challenging. The described treatment eliminates the need for bone grafting, shows optimal results owing to the shorter rehabilitation time and more accurate fits.
CONCLUSIONS: This report introduces a novel technique whereby patient-specific implants are employed as the primary method of reconstruction following segmental resection.
摘要:
背景:牙源性纤维粘液瘤(OFM)是一种圆形的局部浸润性肿瘤,主要见于下颌骨。尽管射线照相外观是可变的,最终诊断是基于与组织病理学检查的相关性。手术方法是首选的治疗方法。为了重建,患者特异性植入物(PSI)最近被开发为重要的帮助.
方法:本病例报告介绍了一名19岁女性牙源性纤维粘液瘤患者,射线照相,组织病理学特征以及使用患者特异性植入物的康复,减少了重建程序的复杂性和相关发病率。
结论:颅颌面部缺损的外科修复和重建具有挑战性。所描述的治疗消除了骨移植的需要,由于更短的康复时间和更准确的拟合,显示了最佳的结果。
结论:本报告介绍了一种新技术,即患者特异性植入物被用作节段性切除后的主要重建方法。
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