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Article type: Research Article
Authors: Moiduddin, Khajaa; b; c; * | Al-Ahmari, Abdulrahmana; b; c | Nasr, Emad S. Abouelc; d | Mian, Syed Hammada; b; c | Al Kindi, Mohammede
Affiliations: [a] Princess Fatima Alnijiris's Research Chair for Advanced Manufacturing Technology, King Saud University, Riyadh, Saudi Arabia | [b] Advanced Manufacturing Institute, King Saud University, Riyadh, Saudi Arabia | [c] Industrial Engineering Department, College of Engineering, King Saud University, Riyadh, Saudi Arabia | [d] Mechanical Engineering Department, Faculty of Engineering, Helwan University, Cairo, Egypt | [e] College of Dentistry, King Saud University, Riyadh, Saudi Arabia
Correspondence: [*] Corresponding author: Khaja Moiduddin, Princess Fatima Alnijiris's Research Chair for Advanced Manufacturing Technology (FARCAMT), King Saud University, Riyadh, Saudi Arabia. E-mail:kmoiduddin@gmail.com
Abstract: BACKGROUND: The customized mandible reconstruction has been a challenging task in maxillofacial surgery. Designing an implant taking into considering the surrounding bone contours is really critical. Various computer aided design techniques have been used in the designing the customized reconstruction implants, but nevertheless study on the comparison between these techniques is rarely used. OBJECTIVE: The objective of this study is to compare the mirroring and anatomical reconstruction design techniques used in the maxillofacial surgery and select the best design technique. METHODS: The three mandible bone defects-small (< 20 mm), medium (20 to 40 mm) and large (41 to 53 mm) tumors are reconstructed using the two reconstruction design techniques and compared to their accuracy, using a 3 dimensional (3D) implant design evaluation and part to Computer aided design (CAD) comparison using a Co-ordinate measuring machine (CMM). RESULTS: The analysis results indicate that the mirroring technique provides higher accuracy for the implant design as compared to the anatomical technique for the medium and large tumors at maxillofacial regions. In case of implant design in small tumors, the anatomical design provides perfect implant fitting. CONCLUSIONS: Based on the results, it is recommended to select the anatomy design technique only for small tumor regions and mirroring technique for medium and large tumors.
Keywords: CT scan, medical modelling, maxillofacial surgery, customized design implants, mirroring technique, anatomy reconstruction, co-ordinate measuring machine
DOI: 10.3233/THC-161136
Journal: Technology and Health Care, vol. 24, no. 3, pp. 377-389, 2016
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