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Reconstruction of a Craniofacial Defect Using Rapid Prototyping and an Autograft - A Case Report
Jayant N Palaskar1, Swapna N Athavale2, Nikhil P Joshi1
1Department of Prosthodontics & Crown and Bridge, Sinhgad Dental College and Hospital, MUHS, Pune, Maharashtra, India.
Rationale:
Achieving predictable aesthetic results of large craniofacial defects has always been difficult, and it requires a multidisciplinary approach.
Patient Concern:
The chief concern of the patient was poor aesthetics due to a congenital craniofacial defect.
Diagnosis:
The patient was a known case of plexiform neurofibromatosis and had a congenital temporo-orbital bone defect of unknown origin.
Treatment:
The reconstruction of the defect was done using rapid prototyping (RPT) and iliac crest graft. Three-dimensional computed tomography imaging and RPT were used to obtain a customized titanium prosthesis to rehabilitate the temporal defect and the defect lateral to the orbit was reconstructed using an iliac crest graft.
Outcome:
Postoperative results were satisfactory and predictable. The positive change in appearance has improved the psychological well-being of the patient.
Take-Away Lessons:
A multidisciplinary approach, use of advanced and improved technology helps in better treatment planning and achieving desired aesthetic results.

