The innovation of customized 3D cutting guide and customized 3D titanium mesh plate for maxillectomy and maxillary defect reconstruction in Thailand: Case report

Abstract

© JOURNAL OF THE MEDICAL ASSOCIATION OF THAILAND| 2020 In this article, we report the case of a 39-years-old man who presented with a rapidly growing mass at his right cheek. The result of investigations was compatible with non-ossifying fibroma with secondary aneurysmal bone cyst that involved the right zygoma, maxilla, and orbital floor. This patient was treated with CAD/CAM 3D virtual surgery that designed and developed a customized 3D cutting guide for maxillectomy, and a customized 3D titanium mesh plate for defect reconstruction. The procedure was clinically successful, and the patient was very satisfied with the functional and aesthetic outcomes. This surgical technology was adopted at our center in 2018 to treat patients requiring maxillofacial surgery and defect reconstruction, and this report profiles the first patient who had pathology at maxillary bone and treated with this surgical method.