Facial Contouring Implant Case
Correction of Hemifacial Microsomia
Case:
A 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 of the usual facial rotation using orthognathic procedures.
Treatment:
Both implants were designed meticulously using the mirrored image of the unaffected side of the patient’s skull. For the mandibular implant, a two-piece design was proposed, with a puzzle connection and lips for screw fixation. The jaw implant was 3D printed in titanium alloy, allowing the integration of a scaffold at the bony surfaces. The surgeon preferred a malar component in PEEK (polyether ether keton). The engineers made a virtual simulation of the genioplasty cut to anticipate implant placement. A cutting guide was delivered together with the implants.
Evolution:
The patient is very satisfied with the outcome and quoting the operator: “The dimensions of the patient-specific implants were excellent. The outcomes are matching the simulation models“
