Journal article
In-House Digital Workflow for the Management of Acute Mandible Fractures
Journal of oral and maxillofacial surgery, Vol.77(10), pp.2084.e1-2084.e9
10/2019
DOI: 10.1016/j.joms.2019.05.027
PMID: 31278940
Abstract
Computer-aided design and additive manufacturing are revolutionizing oral and maxillofacial surgery. Current methods use virtual surgical planning sessions and custom plate milling via third-party vendors, which is costly and time-consuming, negating the effectiveness in acute facial trauma. This technical note describes a state-of-the-art in-house expedited digital workflow for computer-aided virtual fracture reduction, 3-dimensional printing, and preoperative reconstruction plate adaptation for the management of an acute mandible fracture. This process uses the computed tomographic scan a patient receives in the emergency department or clinic. The DICOM (Digital Imaging and Communications in Medicine) data are transferred into US Food and Drug Administration-approved software, in which the fracture is segmented and virtually reduced based on condylar position, midline symmetries, and occlusion if present. The reduced mandible is then printed, which serves as a template for preoperative reconstruction plate adaptation. This method facilitates a virtually reduced fractured mandible, 3-dimensionally printed model, and ideally adapted plates ready for sterilization before surgery within 2 hours after DICOM upload.
Details
- Title: Subtitle
- In-House Digital Workflow for the Management of Acute Mandible Fractures
- Creators
- Jeffrey S Marschall - University of LouisvilleVinicius Dutra - University of LouisvilleRobert L Flint - University of LouisvilleGeorge M Kushner - University of LouisvilleBrian Alpert - University of Louisville HospitalWilliam Scarfe - University of LouisvilleBruno Azevedo - University of Louisville
- Resource Type
- Journal article
- Publication Details
- Journal of oral and maxillofacial surgery, Vol.77(10), pp.2084.e1-2084.e9
- DOI
- 10.1016/j.joms.2019.05.027
- PMID
- 31278940
- NLM abbreviation
- J Oral Maxillofac Surg
- ISSN
- 0278-2391
- eISSN
- 1531-5053
- Language
- English
- Date published
- 10/2019
- Academic Unit
- Craniofacial Anomalies Research Center; Oral and Maxillofacial Surgery
- Record Identifier
- 9984655344902771
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