CC BY-NC-ND 4.0 · Laryngorhinootologie 2022; 101(S 01): S90-S102
DOI: 10.1055/a-1669-6154
Referat

Outcome and Quality of Life after Individual Computer-AssistedReconstruction of the Midface

Article in several languages: deutsch | English
Nils-Claudius Gellrich
1   Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland
,
Björn Rahlf
1   Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland
,
Philipp Jehn
1   Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland
,
Simon Spalthoff
1   Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland
,
Philippe Korn
1   Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland
› Author Affiliations

Abstract

Often, midfacial defects are not only relevant regarding functional aspects but also esthetics of such congenital or acquired deformities impair significantly the patients’ quality of life. Reconstructions of the midface do not only include replacing lost or non-developed tissue but moreover to achieve predictable results with regard to esthetics as well as function for the individual patient. Digital planning modalities including different surface and volume data in combination with modern additive manufacturing techniques for biomodel and implant production and intraoperative support by using real and virtual 3D volume data for navigation and intraoperative imaging, but also securing the outcome based on postoperative analysis have been implemented in modern midface reconstruction and represent new standards for medical care. The objective of this paper is to describe modern options of patient-specific midfacial reconstruction with integration of computer-assisted planning and production techniques.



Publication History

Article published online:
23 May 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Mendes de Paula Gomes A, Adas Saliba Garbin C, da Silva Ferraz FW, Adas Saliba T, Isper Garbin AJ. Dentofacial Deformities and Implications on Quality of Life: A Presurgical Multifactorial Analysis in Patients Seeking Orthognathic Surgical Treatment. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons 2019; 77: 409.e1-409.e9 DOI: 10.1016/j.joms.2018.09.023.
  • 2 Metzger MC, Hohlweg-Majert B, Schön R, Teschner M, Gellrich NC, Schmelzeisen R, Gutwald R. Verification of clinical precision after computer-aided reconstruction in craniomaxillofacial surgery. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics 2007; 104: e1-e10 DOI: 10.1016/j.tripleo.2007.04.015.
  • 3 Schreurs R, Wilde F, Schramm A, Gellrich NC. Intraoperative Feedback and Quality Control in Orbital Reconstruction: The Past, the Present, and the Future. Atlas of the oral and maxillofacial surgery clinics of North America 2021; 29: 97-108 DOI: 10.1016/j.cxom.2020.11.006.
  • 4 Wilde F, Lorenz K, Ebner AK, Krauss O, Mascha F, Schramm A. Intraoperative imaging with a 3D C-arm system after zygomatico-orbital complex fracture reduction. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons 2013; 71: 894-910 DOI: 10.1016/j.joms.2012.10.031.
  • 5 Hohlweg-Majert B, Schön R, Schmelzeisen R, Gellrich NC, Schramm A. Navigational maxillofacial surgery using virtual models. World journal of surgery 2005; 29: 1530-1538 DOI: 10.1007/s00268-005-0091-0.
  • 6 Rana M, Essig H, Eckardt AM, Tavassol F, Ruecker M, Schramm A, Gellrich NC. Advances and innovations in computer-assisted head and neck oncologic surgery. The Journal of craniofacial surgery 2012; 23: 272-278 DOI: 10.1097/SCS.0b013e318241bac7.
  • 7 Zeller AN, Neuhaus MT, Gessler N, Skade S, Korn P, Jehn P, Gellrich NC, Zimmerer RM. Self-centering second-generation patient-specific functionalized implants for deep orbital reconstruction. Journal of stomatology, oral and maxillofacial surgery 2021; 122: 372-380 DOI: 10.1016/j.jormas.2020.12.007.
  • 8 Singh DD, Schorn L, Strong EB, Grant M, Schramm A, Hufendiek K, Gellrich NC, Rana M. Computer-Assisted Secondary Orbital Reconstruction. Craniomaxillofacial trauma & reconstruction 2021; 14: 29-35 DOI: 10.1177/1943387520935004.
  • 9 Gellrich NC, Zimmerer RM, Spalthoff S, Jehn P, Pott PC, Rana M, Rahlf B. A customised digitally engineered solution for fixed dental rehabilitation in severe bone deficiency: A new innovative line: extension in implant dentistry. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery 2017; 45: 1632-1638 DOI: 10.1016/j.jcms.2017.07.022.
  • 10 Gellrich NC, Dittmann J, Spalthoff S, Jehn P, Tavassol F, Zimmerer R. Current Strategies in Post-traumatic Orbital Reconstruction. Journal of maxillofacial and oral surgery 2019; 18: 483-489 DOI: 10.1007/s12663-019-01235-8.
  • 11 Wagner ME, Lichtenstein JT, Winkelmann M, Shin HO, Gellrich NC, Essig H. Development and first clinical application of automated virtual reconstruction of unilateral midface defects. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery 2015; 43: 1340-1347 DOI: 10.1016/j.jcms.2015.06.033.
  • 12 Zimmerer RM, Ellis E, Aniceto GS, Schramm A, Wagner ME, Grant MP, Cornelius CP, Strong EB, Rana M, Chye LT, Calle AR, Wilde F, Perez D, Tavassol F, Bittermann G, Mahoney NR, Alamillos MR, Bašić J, Dittmann J, Rasse M, Gellrich NC. A prospective multicenter study to compare the precision of posttraumatic internal orbital reconstruction with standard preformed and individualized orbital implants. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery 2016; 44: 1485-1497 DOI: 10.1016/j.jcms.2016.07.014.
  • 13 Strong EB. Orbital fractures: pathophysiology and implant materials for orbital reconstruction. Facial plastic surgery: FPS 2014; 30: 509-517 DOI: 10.1055/s-0034-1394099.
  • 14 Stuehmer C, Essig H, Bormann KH, Majdani O, Gellrich NC, Rücker M. Cone beam CT imaging of airgun injuries to the craniomaxillofacial region. International journal of oral and maxillofacial surgery 2008; 37: 903-906 DOI: 10.1016/j.ijom.2008.07.007.
  • 15 Roman R, Hedeşiu M, Fildan F, Ileşan R, Mitea D, Dinu C, Băciuţ M. (2016). The use of reformatted Cone Beam CT images in assessing mid-face trauma, with a focus on the orbital floor fractures. Clujul medical 1957; 89: 519-524 DOI: 10.15386/cjmed-601.
  • 16 Zimmerer R, Schattmann K, Essig H, Jehn P, Metzger M, Kokemüller H, Gellrich NC, Tavassol F. Efficacy of transcutaneous transseptal orbital decompression in treating acute retrobulbar hemorrhage and a literature review. Craniomaxillofacial trauma & reconstruction 2014; 7: 17-26 DOI: 10.1055/s-0033-1356754.
  • 17 Banerjee A, Moore CC, Tse R, Matic D. Rounding of the inferior rectus muscle as an indication of orbital floor fracture with periorbital disruption. The Journal of otolaryngology 2007; 36: 175-180
  • 18 Gellrich NC, Eckstein FM, Lentge F, Zeller AN, Korn P. Komplexe Rekonstruktionen im Gesichts- und im Schädelbereich [Complex reconstructions in the facial and cranial regions]. Der Unfallchirurg 2021; 124: 807-816 DOI: 10.1007/s00113-021-01076-6.
  • 19 Thiele OC, Nolte IM, Mischkowski RA, Safi AF, Perrin J, Zinser M, Zöller JE, Kreppel M. Craniomaxillofacial patient-specific CAD/CAM implants based on cone-beam tomography data – A feasibility study. Journal of cranio-maxillo-facial surgery: official publication of the European Association for Cranio-Maxillo-Facial Surgery 2018; 46: 1461-1464 DOI: 10.1016/j.jcms.2018.05.056.
  • 20 Tavassol F, Gellrich NC. Kompetenz und Kommunikation bei der Umsetzung computergestützter chirurgischer Planung [Competence and communication in the implementation of computer-assisted surgical planning]. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen 2021; 92: 194-199 DOI: 10.1007/s00104-020-01348-8.
  • 21 Jehn P, Spalthoff S, Korn P, Stoetzer M, Gercken M, Gellrich NC, Rahlf B. Oral health-related quality of life in tumour patients treated with patient-specific dental implants. International journal of oral and maxillofacial surgery 2020; 49: 1067-1072 DOI: 10.1016/j.ijom.2020.01.011.