Page 272 - Demo

Chapter 10270Materials and MethodsWe analyzed the records of all patients who received an additively manufactured eTMJR (CADSkills BV, Gent, Belgium) implant in 2017 and 2018.(Fig. 1) All operations were performed by the same surgeon (MYM). The following information was extracted from the records: age, sex, diagnosis, Elledge classification(3), simultaneous corrections of occlusion and facial contours, intraoperative obstacles, and postoperative complications.To evaluate patient satisfaction with their results, independent of the clinician’s perception, all patients completed the standardized FACE-Q ‘Satisfaction with Outcome’ questionnaire at the latest follow-up consultation.(4) Both the sum scores (maximum of 24) and corresponding transformed Rasch scores (maximum of 100) were determined. Statistical analysis was limited to descriptive statistics, with calculation of the mean Rasch score.ResultsAll patients were followed up for at least 1 year after their eTMJR surgery. In all patients, healing occurred without any complications, such as infection, dehiscence, or implant exposure.Case #1This patient had Pruzansky-Kaban Type IIb hemifacial microsomia. The planned position of the mandibular component at the lateral mandibular surface required changing intraoperatively because of severe lateral deviation of the occlusion, despite resection of the coronoid process. The vertical ramus compartment probably lacked neuromuscular support because of the underlying microsomia. Although neutral occlusion and midline correction were obtained during surgery, they were not fully maintained postoperatively.(Figs. 2, 3) Subsequent elastic traction and orthodontic treatment resulted in functional occlusion but with midline deviation.Nikolas de Meurechy NW.indd 270 05-06-2024 10:15