Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia
Summary. The authors present a case of a 11-year-old girl with fibrous dysplasia involving the nasal cavity and sphenoid sinus that potentially required a tracheostomy for anesthesia. The tumor was to be approached through both supraorbital and Le Fort I osteotomies. The tumor prevented nasal intuba...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2020-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003262 |
| _version_ | 1818428581250859008 |
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| author | Patrick W. Harbour, MD Karina Charipova, BS Danielle Dang, MD Leon Moores, MD Stephen B. Baker, MD, DDS |
| author_facet | Patrick W. Harbour, MD Karina Charipova, BS Danielle Dang, MD Leon Moores, MD Stephen B. Baker, MD, DDS |
| author_sort | Patrick W. Harbour, MD |
| collection | DOAJ |
| description | Summary. The authors present a case of a 11-year-old girl with fibrous dysplasia involving the nasal cavity and sphenoid sinus that potentially required a tracheostomy for anesthesia. The tumor was to be approached through both supraorbital and Le Fort I osteotomies. The tumor prevented nasal intubation, and the necessity of maxillomandibular fixation to reduce the osteotomized maxilla with traditional fixation prevented oral intubation. Given the age of the patient and the desire to avoid a tracheostomy scar, a decision was made to utilize custom fixation plates. Virtual surgical planning was utilized to design custom cutting guides with splints for maxillomandibular fixation. These custom maxillary orthognathic plates ensured accurate reduction of the osteotomized maxillary segment and allowed for placement of an oral endotracheal tube. Despite the oral endotracheal tube preventing maxillomandibular fixation, use of custom plates established proper occlusion as determined immediately after extubation and at postoperative visits. |
| first_indexed | 2024-12-14T15:03:54Z |
| format | Article |
| id | doaj.art-4d819bf57e6f4802bc3ab63a4a1055d2 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-14T15:03:54Z |
| publishDate | 2020-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-4d819bf57e6f4802bc3ab63a4a1055d22022-12-21T22:56:45ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-11-01811e326210.1097/GOX.0000000000003262202011000-00028Novel Use of a Custom Fixation Plate in Pediatric Fibrous DysplasiaPatrick W. Harbour, MD0Karina Charipova, BS1Danielle Dang, MD2Leon Moores, MD3Stephen B. Baker, MD, DDS4From the * Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, D.C.† Georgetown University School of Medicine, Washington, D.C.‡ Department of Neurosurgery, Inova Fairfax Medical Campus, Falls Church, Va.‡ Department of Neurosurgery, Inova Fairfax Medical Campus, Falls Church, Va.From the * Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, D.C.Summary. The authors present a case of a 11-year-old girl with fibrous dysplasia involving the nasal cavity and sphenoid sinus that potentially required a tracheostomy for anesthesia. The tumor was to be approached through both supraorbital and Le Fort I osteotomies. The tumor prevented nasal intubation, and the necessity of maxillomandibular fixation to reduce the osteotomized maxilla with traditional fixation prevented oral intubation. Given the age of the patient and the desire to avoid a tracheostomy scar, a decision was made to utilize custom fixation plates. Virtual surgical planning was utilized to design custom cutting guides with splints for maxillomandibular fixation. These custom maxillary orthognathic plates ensured accurate reduction of the osteotomized maxillary segment and allowed for placement of an oral endotracheal tube. Despite the oral endotracheal tube preventing maxillomandibular fixation, use of custom plates established proper occlusion as determined immediately after extubation and at postoperative visits.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003262 |
| spellingShingle | Patrick W. Harbour, MD Karina Charipova, BS Danielle Dang, MD Leon Moores, MD Stephen B. Baker, MD, DDS Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia Plastic and Reconstructive Surgery, Global Open |
| title | Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia |
| title_full | Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia |
| title_fullStr | Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia |
| title_full_unstemmed | Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia |
| title_short | Novel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia |
| title_sort | novel use of a custom fixation plate in pediatric fibrous dysplasia |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003262 |
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