000 02298nam a22003257a 4500
008 201231s20202020 xxu||||| |||| 00| 0 eng d
022 _a2169-7574
024 _a10.1097/GOX.0000000000003262 [doi]
024 _aPMC7722540 [pmc]
040 _aOvid MEDLINE(R)
099 _a33299722
245 _aNovel Use of a Custom Fixation Plate in Pediatric Fibrous Dysplasia.
251 _aPlastic and Reconstructive Surgery - Global Open. 8(11):e3262, 2020 Nov.
252 _aPlast. reconstr. surg., Glob. open. 8(11):e3262, 2020 Nov.
253 _aPlastic and reconstructive surgery. Global open
260 _c2020
260 _fFY2021
265 _sepublish
266 _d2020-12-31
520 _aThe authors present a case of a 11-year-old girl with fibrous dysplasia involving the nasal cavity and sphenoid sinus that potentially required a tracheostomy for anesthesia. The tumor was to be approached through both supraorbital and Le Fort I osteotomies. The tumor prevented nasal intubation, and the necessity of maxillomandibular fixation to reduce the osteotomized maxilla with traditional fixation prevented oral intubation. Given the age of the patient and the desire to avoid a tracheostomy scar, a decision was made to utilize custom fixation plates. Virtual surgical planning was utilized to design custom cutting guides with splints for maxillomandibular fixation. These custom maxillary orthognathic plates ensured accurate reduction of the osteotomized maxillary segment and allowed for placement of an oral endotracheal tube. Despite the oral endotracheal tube preventing maxillomandibular fixation, use of custom plates established proper occlusion as determined immediately after extubation and at postoperative visits. Copyright (c) 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
656 _aSurgery/Plastic Surgery
657 _aCase Reports
700 _aHarbour, Patrick
790 _aBaker SB, Charipova K, Dang D, Harbour PW, Moores L
856 _uhttps://dx.doi.org/10.1097/GOX.0000000000003262
_zhttps://dx.doi.org/10.1097/GOX.0000000000003262
942 _cART
_dArticle
999 _c5995
_d5995