Universität zu Köln

Thiele, Oliver C., Nolte, Isabel M., Mischkowski, Robert A., Safi, Ali F., Perrin, Jason, Zinser, Max, Zoeller, Joachim E. and Kreppel, Matthias (2018). Craniomaxillofacial patient-specific CAD/CAM implants based on cone-beam tomography data - A feasibility study. J. Cranio-MaxilloFac. Surg., 46 (9). S. 1461 - 1465. EDINBURGH: CHURCHILL LIVINGSTONE. ISSN 1878-4119

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Abstract

Customized implants have simplified surgical procedures and have improved patient outcome in craniomaxillofacial surgery. Traditionally, patient-specific data is gathered by conventional computed tomography (CT). However, cone-beam CT (CBCT) can generate a 3D reconstruction of the area of interest with a lower dose of radiation at reduced cost. In this study, we investigated the feasibility of using CBCT data to design and generate customized implants for patients requiring craniomaxillofacial reconstruction. We used CBCT to generate 62 implants for 51 consecutive patients admitted to our department between January 2015 and December 2017. The indications for reconstruction and types of reconstruction were very variable. In all cases, the implants were well fitted and no implant-related complications were detected. Pre-surgical planning was faster and more efficient as we did not have to consult a radiologist. Although CBCT data is more difficult to process than conventional CT data for the implant provider, the clinical advantages are pronounced and we now use CBCT as standard in our department. In conclusion, we have shown that using CBCT to design and manufacture customized implants for reconstruction of the craniomaxillofacial area is feasible and recommend this approach to other departments. (C) 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Thiele, Oliver C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nolte, Isabel M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mischkowski, Robert A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Safi, Ali F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Perrin, Jason UNSPECIFIED UNSPECIFIED UNSPECIFIED Zinser, Max UNSPECIFIED UNSPECIFIED UNSPECIFIED Zoeller, Joachim E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreppel, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-175142
DOI:	10.1016/j.jcms.2018.05.056
Journal or Publication Title:	J. Cranio-MaxilloFac. Surg.
Volume:	46
Number:	9
Page Range:	S. 1461 - 1465
Date:	2018
Publisher:	CHURCHILL LIVINGSTONE
Place of Publication:	EDINBURGH
ISSN:	1878-4119
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MANDIBULAR RECONSTRUCTION; CRANIOPLASTY; PLATE Multiple languages Dentistry, Oral Surgery & Medicine; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17514