Show simple item record

dc.contributor.authorBudak, Igor
dc.contributor.authorKiralj, Aleksandar
dc.contributor.authorSokac, Mario
dc.contributor.authorSantosi, Zeljko
dc.contributor.authorEggbeer, Dominic
dc.contributor.authorPeel, Sean
dc.date.accessioned2019-01-22T16:37:18Z
dc.date.available2019-01-22T16:37:18Z
dc.date.issued2019
dc.identifier.issn1355-2546
dc.identifier.issn1758-7670 (online)
dc.identifier.urihttp://hdl.handle.net/10369/10226
dc.descriptionArticle accepted for publication in Rapid Prototyping Journal. Available on publicationen_US
dc.description.abstractComputer Aided Design and Additive Manufacture (CAD/AM) technologies are sufficiently refined and meet the necessary regulatory requirements for routine incorporation into the medical field, with long-standing application in surgeries of the maxillofacial and craniofacial region. They have resulted in better medical care for patients, and faster, more accurate procedures. Despite ever-growing evidence about the advantages of computer aided planning, CAD and AM in surgery, detailed reporting on critical design decisions that enable methodological replication, and the development and establishment of guidelines to ensure safety, are limited. This paper presents a novel application of CAD and AM to a single stage resection and reconstruction of fibrous dysplasia in the zygoma and orbit. It is reported in sufficient fidelity to permit methods replication and design guideline developments in future cases, wherever they occur in the world. The collaborative approach included engineers, designers, surgeons and prosthetists to design patient-specific cutting guides and a custom implant. An iterative design process was used, until the desired shape and function were achieved, for both of the devices. The surgery followed the CAD plan precisely and without problems. Immediate post-operative subjective clinical judgements were of an excellent result. At 19 months post-op, a CT scan was undertaken to verify the clinical and technical outcomes. Dimensional analysis showed maximum deviation of 4.73 mm from the plan to the result, while CAD-Inspection showed that the deviations range between -0.1 and -0.8 mm, and that the majority of deviations are located around the –0.3 mm. Improvements are suggested and conclusions drawn regarding the design decisions considered critical to a successful outcome for this type of procedure in the future.en_US
dc.language.isoenen_US
dc.publisherEmeralden_US
dc.relation.ispartofseriesRapid Prototyping Journal;
dc.titleComputer-aided methods for single stage fibrous dysplasia excision and reconstruction in the zygomatico-orbital complexen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1108/RPJ-05-2018-0116
dcterms.dateAccepted2018-12-02
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionAMen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_US
rioxxterms.freetoread.startdate2100-01-01
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


Files in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record