FACIAL CONTOURING IMPLANTS
The surgeon can order any form of an implant for every region of the face/skull. This means that a uniform clinical problem cannot be defined. The reasons for the necessity of facial contouring implants are variable and numerous. Our customized implants are used in orthognathic surgery, cosmetic surgery, for reconstructive purposes, in oncological surgery or to correct congenital malformations. Some examples of facial contouring implants are uni- or bilateral jaw angle implants, malar onlay implants, nasal dorsum reconstructions, and genioplasty implants.
Facial contouring implants can be printed in titanium, or CNC milled in PEEK, depending on the surgeon’s preference. CADskills offers the option to split the implant into two parts, connected with an interlocking design such as a 3D puzzle. When considering for example jaw angles, fibrosis and a scarred buccal vestibule from multiple surgeries may prompt a surgeon to access the mandibular border through a submandibular approach. However, when choosing the transoral route, maximal interincisal mouth opening, reduced intercommissural width, and reduced lip elasticity may pose a problem when considering voluminous implants. Inserting voluminous implants may also jeopardize the mental nerve, especially when they extend below the mental foramen.
CADskills foresees 2 screw holes per segment, to prevent dislocation of the implant. Depending on the position of nerves, the location of the implant and the estimated freedom of access, screw holes are provided in the implant body or lip extensions. For jaw angles, CADskills provides holes for both the transoral and transbuccal approach, with the latter as a rescue measure.
CASE REPORT This 26-year-old male was diagnosed with right-sided hemifacial microsomia Pruzansky’s Type IIb. In this case the craniomaxillofacial surgeon decided to use 2 CADskills facial implants to correct the facial asymmetry, instead…View clinical case