Upper Jaw Reconstruction following Central Giant Cell Granuloma on the right side

Reconstructions

Upper Jaw Reconstruction following Central Giant Cell Granuloma on the right side

Dr. Vadim Reiser and Dr. Aharon Amir, Assuta Hospital.
Patient Specific Implant to reconstruct maxilla, due to Central Giant Cell Granuloma on the right side.
This 24-year-old patient was diagnosed at an early age with an aggressive benign Central Giant Cell Granuloma on the right side. The right maxilla was removed, extending to 26 area on the left.
There were 14 surgical attempts to reconstruct her maxilla, including free vascular bone grafts, which all failed.
The patient had poor aesthetics and function, and speech difficulty.

A.

3D Planning of Reconstruction Implant and Bone Shape from Fibula

B.

The shape of the reconstructed maxilla was based on a 3D image of the patient before her first surgery.

C.

The image was superimposed on the new CT.

D.

Custom Implant on 3D Model

E.

Cutting Guide for Leg Fibula Donor Site

F.

Surgical Process 3D Designed Bone Cutting Guide to remove a precise shape of bone

G.

Bone from Fibula

H.

Bone with Blood Supply and Reconstruction Implant

I.

Implant and Bone

J.

Implant and Bone

K.

Post-Op Panoramic Xray

L.

6 months’ after reconstruction: Panoramic View after Implant Placement

M.

Final result