Case Studies 2021 02 11 12h36 56

Transforming reconstructive surgery following removal of jaw bone tumor

Case Study
  • Craniomaxillofacial

Squamous cell carcinoma (SCC) is the most common form of malignancy in the head and neck. Quite often an SCC will imitate an infectious condition when viewed on 2D radiography, posing a diagnostic challenge for even the most experienced clinicians.

In this case, doctors treating a 64 year old man found what they believed could be an SCC in the right side of his jaw but couldn’t be sure, meaning they would have to plan for any and all possibilities they may find once they started operating. To remove this uncertainty in advance, the lead surgeon ordered a 3D model of the man’s skull and jaw from Axial3D.

With the 3D model at their disposal, the clinicians were able to confirm that he was indeed suffering from an SCC in his jaw and set about with full certainty defining their surgical plan to remove the tumor, along with a portion of his jaw bone. The team then planned to rebuild his jaw with reconstructive plates.

Having fulfilled its original purpose in enabling the surgeon to clarify the patient’s condition and define a safe surgery plan, the team then found an incredible secondary use for the model. Using it as a fitting guide, they pre-bent the reconstruction plates ahead of time, resulting in an impressive reduction of sixty minutes of time spent in the OR. There is growing evidence to show that using 3D models to pre-bend plates can not only save time in the OR, as it has done in this case, but also offer better fitting accuracy too. This has a huge impact on the patient’s recovery and rehabilitation, including recovering their self esteem, and significantly reduces their risks of downstream complications.