Precise Intraoral Condylectomy With the Guide of Three-Dimensional Printed Template in a Mandibular Condylar Hyperplasia Patient

J Craniofac Surg. 2022 Oct 1;33(7):e685-e688. doi: 10.1097/SCS.0000000000008558. Epub 2022 Mar 11.

Abstract

Purpose: This study aimed to introduce an innovative method for mandibular condylectomy. A customized three-dimensional (3D) printed template is used to perform precise condylectomy in an intraoral approach.

Methods: Condylectomy combined with orthognathic surgery was used for the treatment of facial asymmetry secondary to unilateral condylar hyperplasia. The customized 3D printed osteotomy guide was placed with an intraoral approach under endoscopy, in order to perform a precise condylectomy.

Result: With the customized 3D printed template, the condylectomy was performed more precisely, and the conventional extraoral incision was avoided. The osteotomy line was accurately transferred from the virtual surgical plan to the real surgery, which assured the precise resection.

Conclusions: The intraoral approach combined with a 3D printed template provides a novel solution to perform the condylectomy precisely.

MeSH terms

  • Facial Asymmetry / diagnostic imaging
  • Facial Asymmetry / pathology
  • Facial Asymmetry / surgery
  • Humans
  • Hyperplasia / pathology
  • Hyperplasia / surgery
  • Malocclusion* / pathology
  • Mandibular Condyle / diagnostic imaging
  • Mandibular Condyle / pathology
  • Mandibular Condyle / surgery
  • Orthognathic Surgical Procedures* / methods