The usefulness of cutting guides for resection or biopsy of mandibular lesions: A technical note and case report

Astrid De Ketele; Jan Meeus; Eman Shaheen; Laurence Verstraete; Constantinus Politis

doi:10.1016/j.jormas.2022.08.015

The usefulness of cutting guides for resection or biopsy of mandibular lesions: A technical note and case report

J Stomatol Oral Maxillofac Surg. 2023 Feb;124(1):101272. doi: 10.1016/j.jormas.2022.08.015. Epub 2022 Aug 27.

Authors

Astrid De Ketele¹, Jan Meeus², Eman Shaheen³, Laurence Verstraete⁴, Constantinus Politis⁵

Affiliations

¹ Department of Oral & Maxillofacial Surgery, University Hospitals of Leuven, Campus Sint-Rafaël, Kapucijnenvoer 33, 3000 Leuven, Belgium. Electronic address: astrid.deketele@student.kuleuven.be.
² Department of Oral & Maxillofacial Surgery, University Hospitals of Leuven, Campus Sint-Rafaël, Kapucijnenvoer 33, 3000 Leuven, Belgium. Electronic address: jan.meeus@uzleuven.be.
³ Department of Oral & Maxillofacial Surgery, University Hospitals of Leuven, Campus Sint-Rafaël, Kapucijnenvoer 33, 3000 Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. Electronic address: eman.shaheen@uzleuven.be.
⁴ Department of Oral & Maxillofacial Surgery, University Hospitals of Leuven, Campus Sint-Rafaël, Kapucijnenvoer 33, 3000 Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. Electronic address: laurenceverstraete@hotmail.com.
⁵ Department of Oral & Maxillofacial Surgery, University Hospitals of Leuven, Campus Sint-Rafaël, Kapucijnenvoer 33, 3000 Leuven, Belgium; OMFS IMPATH Research Group, Department of Imaging & Pathology, Faculty of Medicine, KU Leuven & Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium; Head of Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium. Electronic address: constantinus.politis@uzleuven.be.

PMID: 36031147
DOI: 10.1016/j.jormas.2022.08.015

Abstract

The application of three dimensional (3D) printed patient specific cutting guide for biopsy of a mandibular lesion closely positioned to the mandibular canal is presented. To prevent inferior alveolar nerve damage, the cutting site of the bone window was virtually planned and then the cutting guide was 3D printed. This guide enabled intra-operative control and resulted in absence of postoperative hypo- or dysesthesia. This case demonstrates that 3D printed patient specific guides can help reduce the risk of hypoesthesia in mandibular surgery.

Keywords: 3D printing; Cutting guide; Mandibula.

Publication types

Case Reports

MeSH terms

Biopsy
Humans
Mandible / surgery
Orthognathic Surgical Procedures*
Printing, Three-Dimensional
Surgery, Computer-Assisted*