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《Journal of Fujian Medical University》 2009-03
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Individualized Reconstruction of Mandible with Rapid Prototyping Techniques

SHI Bin,LIN Lisong,QIU Yu,ZHU Xiaofeng,LIN Gengbing,HUANG Li Department of Oral and Maxillofacial Surgery,The First Affiliated First Hospital;Laboratory of Facial Plastic and Reconstruction,Fujian Medical University,Fuzhou 350005,China  
Objective To explore the application features and clinical effects of individualized reconstruction of mandible with rapid prototyping technology.Methods 23 patients with mandible defect,caused by tumor or trauma,were scanned with 3D-CT before operation.Solid models and mirror models were made with rapid prototyping technology.According to the models,an osteotomy line was designed and individualized reconstructed Ti-palate pre-curved.After the resection of tumor,the individualized reconstructed Ti-palate,combined with ilium or fibular flap,was fixed in place to reconstruct the mandible.Results Grafts survived without tumor recurrence.All patients had symmetrical faces,good occluding relation and normal mandibule and TMJ function.Their open-mouth degree ranged from 2.8 to 3.6 cm.Three months after operation,3D-CT scan showed that the reconstructed mandible was symmetrical,and the condylar process was in the normal position.Conclusion Rapid prototyping technology is a fairly ideal procedure in light of reconstructing mandible,because it is simple at low cost and short-time in model-making with satisfactory clinical effects.
【Fund】: 福建省自然科学基金(C0310015)
【CateGory Index】: R782
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