Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant

An 11-year-old girl presented at the emergency service with a nasal defect caused by a dog bite in the midface. Autologous nose reconstruction in the pediatric population is challenging due to donor site morbidity and remaining facial growth. Temporary prosthetic treatment is difficult to accept due...

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Main Authors: Matthias Ureel, Daniel Dadjam, Nicolas Dhooghe, Maarten De Jong, Renaat Coopman
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2024.1330889/full
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author Matthias Ureel
Matthias Ureel
Daniel Dadjam
Nicolas Dhooghe
Maarten De Jong
Renaat Coopman
author_facet Matthias Ureel
Matthias Ureel
Daniel Dadjam
Nicolas Dhooghe
Maarten De Jong
Renaat Coopman
author_sort Matthias Ureel
collection DOAJ
description An 11-year-old girl presented at the emergency service with a nasal defect caused by a dog bite in the midface. Autologous nose reconstruction in the pediatric population is challenging due to donor site morbidity and remaining facial growth. Temporary prosthetic treatment is difficult to accept due to problems with retention. We present an innovative solution using a 3D printed patient specific titanium implant for support of a nasal prosthesis. With preoperative 3-dimensional planning, the implant can be designed to find fixation in the areas with the best bone quality, avoid potential damage to tooth buds and dental roots and avoid interference to soft tissues such as the nasal septum. Clear communication between the anaplastologist, surgeon and medical engineer is crucial for treatment success. The impact of facial growth is still unclear and will have to be assessed.
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spelling doaj.art-472600a3a6cd46678236b8a26b7152a92024-03-14T12:24:51ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-03-011110.3389/fsurg.2024.13308891330889Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implantMatthias Ureel0Matthias Ureel1Daniel Dadjam2Nicolas Dhooghe3Maarten De Jong4Renaat Coopman5Department of Plastic and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Ghent University Hospital, Ghent, BelgiumDepartment of Biomedical Engineering, Swiss MAM Research Group, University of Basel, Allschwil, SwitzerlandDepartment of Plastic and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Ghent University Hospital, Ghent, BelgiumDepartment of Plastic and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Ghent University Hospital, Ghent, BelgiumAnaplastologist, Maastricht University Medical Center+, Maastricht, NetherlandsDepartment of Plastic and Reconstructive Surgery, Division of Oral and Maxillofacial Surgery, Ghent University Hospital, Ghent, BelgiumAn 11-year-old girl presented at the emergency service with a nasal defect caused by a dog bite in the midface. Autologous nose reconstruction in the pediatric population is challenging due to donor site morbidity and remaining facial growth. Temporary prosthetic treatment is difficult to accept due to problems with retention. We present an innovative solution using a 3D printed patient specific titanium implant for support of a nasal prosthesis. With preoperative 3-dimensional planning, the implant can be designed to find fixation in the areas with the best bone quality, avoid potential damage to tooth buds and dental roots and avoid interference to soft tissues such as the nasal septum. Clear communication between the anaplastologist, surgeon and medical engineer is crucial for treatment success. The impact of facial growth is still unclear and will have to be assessed.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1330889/fullnose reconstructionpediatricpatient specific implantprosthesisdog bite
spellingShingle Matthias Ureel
Matthias Ureel
Daniel Dadjam
Nicolas Dhooghe
Maarten De Jong
Renaat Coopman
Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant
Frontiers in Surgery
nose reconstruction
pediatric
patient specific implant
prosthesis
dog bite
title Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant
title_full Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant
title_fullStr Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant
title_full_unstemmed Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant
title_short Case Report: Pediatric alloplastic nose reconstruction with a 3D printed patient specific titanium implant
title_sort case report pediatric alloplastic nose reconstruction with a 3d printed patient specific titanium implant
topic nose reconstruction
pediatric
patient specific implant
prosthesis
dog bite
url https://www.frontiersin.org/articles/10.3389/fsurg.2024.1330889/full
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