Visualizing 3D patient information from CT data can often reveal hidden facts. But having a tangible model of the anatomy in your hands adds another dimension to it. Physically reproducing your patient’s anatomy preoperatively allows you to come to a more precise diagnosis through the insight that it offers into the complexity of the specific pathology. Besides a better insight, you can also already practice your surgical approach; you can saw parts of the model, drill in it or prebend your plates on it. It enables you to go into surgery fully prepared, with an optimal treatment plan, optionally with a pre-bent plate, and avoid surprises. This reduces the time needed to perform the surgery, as well as increasing its accuracy and efficiency and ensures a better outcome for the patient.
Fibula reconstruction of the mandible
Case by L. Poort, MD
A patient with bisphosphonate-related osteonecrosis of the mandible that developed a pathological fracture despite sequesterotomy of the right corpus mandibular. In order to bridge the defect, an osteosynthesis plate was inserted. This osteosynthesis plate later fractured and the patient was then referred to MUMC+. To bridge the bone defect, a fibula reconstruction of the mandible was planned. The jaw cups were repositioned in the correct position into the temporomandibular joint and the defect was filled with the fibula to reconstruct the patient’s original shape and position.
We employed the service of Xilloc to ensure optimal results. Using computer aided design, Xilloc repositioned the jaw cup into the temporomandibular joint and removed the fractured osteosynthesis plate.