Updates on Facial Traumatology and Oral Maxillofacial Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 15 July 2024 | Viewed by 1177

Special Issue Editor


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Guest Editor
Department of Neurosciences, Reproductive and Odontostomatological Sciences, Federico II University of Naples, 80131 Naples, Italy
Interests: head and neck oncology; computer-assisted surgery; orthognathic surgery; facial plastic surgery; reconstructive surgery; TMJ surgery; biomaterials
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Dear Colleagues,

Knowledge of traumatology is essential for maxillofacial surgeons, who will face thousands of cases in a lifetime. Alongside technological improvements in this domain, the nature of trauma cases and their modalities change in tandem; one example of this is the advent of the motor vehicle, which increased the incidence of high kinetic energy trauma. Likewise, the recent pandemic has caused a radical shift in trauma etiology, increasing the incidence of domestic accidents. Cases such as these reflect the ever-changing complexity in the area of facial traumatology, including patterns of fractures and complications.

On the other hand, we are witnessing a huge development in computer technologies that can assist surgeons during the planning process and the intraoperative phase. Intraoperative navigation, C-arm CT and patient-specific implants are just a few of the applications of computer-assisted surgery. These technologies are radically changing the way that a surgeon operates, improving the safety of the procedure and minimizing surgical access and complication rates. Furthermore, the increased availability of 3D laboratories has further increased the development of in-house solutions. Machine learning technology therefore plays an essential role in the diagnostic phase, magnifying the detection of fractures and aiding in the decision process.

Dr. Giovanni Dell'Aversana Orabona
Guest Editor

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Keywords

  • traumatology
  • computer-assisted surgery
  • intraoperative navigation
  • augmented reality
  • machine learning

Published Papers (1 paper)

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Research

12 pages, 38416 KiB  
Article
Virtual Surgical Planning for Temporomandibular Joint Reconstruction with Stock TMJ Prostheses: Pilot Study
by José Luis del Castillo Pardo de Vera, José Luis Cebrián Carretero, Íñigo Aragón Niño, Marta María Pampín Martínez, José Tadeo Borjas Gómez, Ignacio Navarro Cuéllar, Ana María López López, Estela Gómez Larren, Carlos Navarro Vila, Pablo Montes Fernández-Micheltorena, Álvaro Pérez Sala and Carlos Navarro Cuéllar
Medicina 2024, 60(2), 339; https://doi.org/10.3390/medicina60020339 - 19 Feb 2024
Viewed by 883
Abstract
The temporomandibular joint (TMJ) is one of the most complex joints in the human anatomy. In advanced degenerative stages, conservative or minimally invasive surgical therapies have failed to restore joint function, and joint replacement with prostheses has been required. Stock prostheses, compared to [...] Read more.
The temporomandibular joint (TMJ) is one of the most complex joints in the human anatomy. In advanced degenerative stages, conservative or minimally invasive surgical therapies have failed to restore joint function, and joint replacement with prostheses has been required. Stock prostheses, compared to custom-made prostheses, are much less expensive and require less pre-operative preparation time. Four patients followed for years for temporomandibular dysfunction and previously operated on by arthroscopy or open joint surgery that have been reconstructed with stock TMJ prostheses (STMJP) through virtual surgical planning (VSP) and an STL model with surgical and positioning guides were included. The median follow-up was 15 months; the median number of previous TMJ surgeries was 2. The mean preoperative MIO was 24.6 mm and at longest follow-up was 36.4 mm. The median preoperative TMJ pain score was 8, and the median postoperative TMJ pain was 3. All patients have improved their mandibular function with a clear improvement of their initial situation. In conclusion, we believe that stock TMJ prostheses with virtual surgical planning and surgical guides are a good alternative for TMJ reconstruction at the present time. Nonetheless, prospective and randomized trials are required with long-term follow up to assess their performance and safety. Full article
(This article belongs to the Special Issue Updates on Facial Traumatology and Oral Maxillofacial Surgery)
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