Patient-Specific Implants in Maxillofacial Reconstruction - A Case Report

Ann Maxillofac Surg. 2023 Jul-Dec;13(2):258-261. doi: 10.4103/ams.ams_126_23. Epub 2024 Jan 15.

Abstract

Rationale: The successful utilisation of three dimensional (3D) techniques in engineering a titanium patient specific implant (PSI) for a patient who underwent hemimaxillectomy following post COVID mucormycosis infection.

Patient concerns: Issues related to problems associated with resection following mucormycosis, such as occlusal function, aesthetics and facial asymmetry.

Diagnosis: The patient affected by mucormycosis was left with Aramany class 1 and Cordeiro type II sub total maxillectomy defect.

Treatment: The patient was operated for mucormycosis followed by reconstruction with patient specific implant.

Outcome: Positive clinical outcomes, including improved facial symmetry, function and psychological well being with immediate replacement of the teeth, the benefits of which far outweigh the traditional approach.

Take away lessons: The advances in the use of PSI by integration of 3D printing and computer aided design computer aided manufacturing (CAD-CAM) technology for extensive and challenging defects in the maxillofacial region have been highlighted in this case report.

Keywords: Case report; occlusion; patient-specific implants; prosthetic rehabilitation; reconstructive surgery.

Publication types

  • Case Reports