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A Comprehensive Strategy for Reconstruction of a Missing Midface.
Yanpu Liu1, Qin Ma1, Jinlong Zhao1
1Department of Cranio-facial Trauma and Orthognathic Surgery, College of Stomatology, The Key State Laboratory of Military Stomatology, and Department of Prosthodontics, College of Stomatology, Fourth Military Medical University, Xi'an, China.
Plastic and Reconstructive Surgery. Global Open
|August 25, 2015
Summary
Reconstructing severe midface defects is challenging. A rare case successfully used distraction osteogenesis, computer-aided surgery, and bone grafts, achieving improved facial contour and occlusion.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic and Reconstructive Surgery
- Biomedical Engineering
Background:
- Severe midfacial defects involving the maxilla, nasal bone, and zygoma present significant functional and cosmetic challenges.
- Reconstruction of these complex deformities requires innovative surgical techniques.
Observation:
- A rare case of extensive midfacial defects was treated.
- The patient underwent a multi-stage, 4-year treatment protocol.
Findings:
- A comprehensive approach combining distraction osteogenesis, computer-aided surgery (CAS), fibula bone grafting, dental implantation, orthognathic surgery, and rhinoplasty was employed.
- The treatment resulted in dramatically improved facial contour and stable occlusion.
Implications:
- This case highlights the efficacy of a multidisciplinary approach and CAS in managing severe maxillofacial deformities.
- Meticulous planning, optimal treatment sequencing, surgical expertise, and a patient-centered approach are crucial for successful outcomes.
