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Overview

Whether you are looking for a midface or mandibular reconstructive solutions, custom designed orthognathic plates or an implant to address aesthetic needs, our iD Solutions Facial iD portfolio is designed to provide personalized results for your patient. Implants are individually designed with our patient’s CT data while you drive the artistry of the implant during a design session with a Design Engineer. Implants are available in a variety of materials depending on anatomical location, including MEDPOR, PEEK and titanium. Provide your patients with an exceptional anatomical fit and enhanced aesthetic results.

Aesthetics

Our MEDPOR patient specific implants allow you to create the ideal implant design for your patient’s midface or mandible aesthetic needs. During an online interaction with our engineers, you’ll be able to determine the height, width, projection and overall shape of the implant.

Aesthetics

Mandible reconstruction

Patient specific titanium plates are manufactured to the planned patient outcome, eliminating the time needed for intra-operative adaptation. Plot the location of every screw hole, select the profile height and bar width, and create a reconstruction plate to meet your patients’ needs.

In collaboration with 3D Systems, Virtual Surgical Planning (VSP) can be used to further enhance your patient outcomes.

Mandible

Midface reconstruction

We have many options to address midface reconstruction, ranging from our newly introduced patient-specific titanium plates to our long standing MEDPOR and PEEK products.

Our customized reconstruction plates are designed to meet the individual needs of you and your patients. These customized plates are manufactured to the planned patient outcome, eliminating the time needed for intraoperative adaptation. This patient-specific approach is a result of our collaboration with 3D Systems to offer Virtual Surgical Planning.

We also offer MEDPOR and PEEK materials for midface reconstruction. Each has a well-established history of surgical use and offers you the flexibility to address your patient’s specific needs. If the procedure requires more detailed design input, you can take part in an online design session with our engineers and map out the exact placement, projection, and other aspects of the implant to match the needs of your patient.  

Midface

Clinical evidence 

 

Abstract

The purpose of this paper was to analyze the biomechanical performance of customized mandibular reconstruction plates with optimized strength. The best locations for increasing bar widths were determined with a sensitivity analysis. Standard and customized plates were mounted on mandible models and mechanically tested. Maximum stress in the plate could be reduced from 573 to 393 MPa (−31%) by increasing bar widths. The median fatigue limit was significantly greater (p < 0.001) for customized plates (650 ± 27 N) than for standard plates (475 ± 27 N). Increasing bar widths at case-specific locations was an effective strategy for increasing plate fatigue performance.

Full Article

Abstract

Background:

Virtual surgical planning (VSP) has contributed to a number of technical innovations in mandible reconstruction. We report on these innovations and the overall evolution of mandible reconstruction using free fibula flaps at our institution.

Methods:

We performed a retrospective chart review of all patients who underwent virtually planned free fibula flap reconstruction of the mandible. Comparisons were made between cohorts based on distinct eras related to the virtual planning approach.

Results:

Seventy-six patients underwent a total of 78 VSP-assisted mandible reconstructions with free fibula flaps. Significant differences were noted among the groups with regard to mean number of segments, percentage of flaps that had at least 3 segments, percentage of flaps that had double-barrel components, and innovations per flap.

Conclusion:

VSP-assisted mandible reconstruction has contributed to more complex surgeries at our institution. The technology ensures functional restoration, permitting an optimized aesthetic reconstruction that has not increased operative times or complications. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2066-E2073, 2016.

Full article

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