Missing facial parts computed by a morphable model and transferred directly to a polyamide laser-sintered prosthesis: an innovation study

Abstract Mirroring of missing facial parts and rapid prototyping of templates have become widely used in the manufacture of prostheses. However, mirroring is not applicable for central facial defects, and the manufacture of a template still requires labour-intensive transformation into the final fac...

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Veröffentlicht in:British journal of oral & maxillofacial surgery 2011-12, Vol.49 (8), p.e67-e71
Hauptverfasser: Mueller, A.A, Paysan, P, Schumacher, R, Zeilhofer, H.-F, Berg-Boerner, B.-I, Maurer, J, Vetter, T, Schkommodau, E, Juergens, P, Schwenzer-Zimmerer, K
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container_end_page e71
container_issue 8
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container_title British journal of oral & maxillofacial surgery
container_volume 49
creator Mueller, A.A
Paysan, P
Schumacher, R
Zeilhofer, H.-F
Berg-Boerner, B.-I
Maurer, J
Vetter, T
Schkommodau, E
Juergens, P
Schwenzer-Zimmerer, K
description Abstract Mirroring of missing facial parts and rapid prototyping of templates have become widely used in the manufacture of prostheses. However, mirroring is not applicable for central facial defects, and the manufacture of a template still requires labour-intensive transformation into the final facial prosthesis. We have explored innovative techniques to meet these remaining challenges. We used a morphable model of a face for the reconstruction of missing facial parts that did not have mirror images, and skin-coloured polyamide laser sintering for direct manufacture of the prosthesis. From the knowledge gleaned from a data set of 200 coloured, three-dimensional scans, we generated a missing nose that was statistically compatible with the remaining parts of the patient's face. The planned prosthesis was manufactured directly from biocompatible skin-coloured polyamide powder by selective laser sintering, and the prosthesis planning system produced a normal-looking reconstruction. The polyamide will need adjustable colouring, and we must be able to combine it with a self-curing resin to fulfil the requirements of realistic permanent use.
doi_str_mv 10.1016/j.bjoms.2011.02.007
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subjects Algorithms
Biomedical engineering
Carcinoma, Basal Cell - rehabilitation
Computer-Aided Design
Dentistry
Facial neoplasms
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Lasers, Gas
Male
Maxillofacial Prosthesis
Models, Anatomic
Models, Statistical
Neoplasm Recurrence, Local
Nose
Nose Neoplasms - rehabilitation
Nylons
Prostheses and Implants
Prosthesis Coloring
Prosthesis Design
Statistical models
Surgery
Three-dimensional imaging
title Missing facial parts computed by a morphable model and transferred directly to a polyamide laser-sintered prosthesis: an innovation study
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