Using in-house 3D technology for optimal spatial positioning of elongation devices for distraction osteogenesis-a cost-effective alternative.

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Tác giả: Tal Capucha, Omri Emodi, Ahmad Hija, Andrei Krasovsky, Adi Rachmiel, Dekel Shilo, Nidal Zeineh

Ngôn ngữ: eng

Ký hiệu phân loại: 025.5 Services for users

Thông tin xuất bản: Switzerland : Frontiers in oral health , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 682249

INTRODUCTION: Mandibular distraction osteogenesis is globally accepted as the gold-standard surgical solution for various craniofacial deformities and syndromes. Stock device evolution has advanced into complex designs to achieve the most accurate three-dimensional distraction vector of elongation. Today's cutting-edge solution is patient-specific distractors designed by virtual surgical planning (VSP) to facilitate surgical performance and ensure the most predictable clinical results. However, tailoring patient-specific distractors comes with a significant price tag. METHODS: Using VSP technology, we developed an inexpensive stepwise method of precisely directing the distraction vector by adapting off-the-shelf distractors for the individual contour of the patients' mandibles based on the in-house designed and printed cutting guides. RESULTS: The virtual planning sequence and clinical application are described in detail. The final results are assessed by 3D analysis to confirm the method's precision and predictability. DISCUSSION: The final positions of the adapted off-the-shelf distractors were found to match the pre-operative virtual planning precisely, resulting in excellent clinical results. This method can be easily reproduced in similar clinical cases with reduced cost.
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