Surgical Reconstruction of Maxillary and Mandibular Defects Using a Printed Titanium Mesh

Abstract

To reconstruct maxillary and mandibular defects with printed titanium mesh using computer-assisted surgery (CAS) for the achievement of structural, esthetic, and functional goals. The authors designed and implemented this prospective study of patients with maxillary or mandibular defects who underwent reconstruction with printed titanium mesh using CAS. After surgery, the preoperative design and postoperative outcome were evaluated using Geomagic Studio software. The sample was comprised of 2 patients with maxillary defects and 2 with mandibular defects. A satisfactory contour was achieved in all patients. The rate of concordance between the preoperative design and the postoperative outcome was higher than 81 and 94% within 3 mm for the mandibular and maxillary reconstructions, respectively. The results of this study suggest that complicated maxillary and mandibular defects can be satisfactorily reconstructed with customized printed titanium meshes using CAS.