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Nachteile werden in einer aufwendigen individuellen intraoperativen Anpassung der Plattensysteme am meist schlecht zug\u00e4nglichen Knochen deutlich. Wir stellen eine Methode vor, diese Nachteile zu \u00fcberwinden und die Vorteile plattenbasierter Systeme st\u00e4rker auszuspielen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methodik<\/jats:title><jats:p>Das kn\u00f6cherne Mittegesicht eines Patienten mit erfolgter Rhinektomie bei Karzinom des Naseneingangs wurde anhand der pr\u00e4operativen Computertomographie als virtuelles 3\u2011D-Modell rekonstruiert. Die verwendete Open-Source-Software (3-D-Sclicer) erm\u00f6glichte die einfache und schnelle Rekonstruktion sowie Anpassung zum Druck des 3\u2011D-Modells mittels transparenten Kunststoffs (MED610; stratasys Ltd., MN, USA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Die als Epithesenanker verwendete Titan-Br\u00fcckenplatte (MEDICON) konnte am 3\u2011D-Druck des Mittelgesichts \u00e4u\u00dferst pr\u00e4zise vorangepasst werden. Wichtige anatomische Strukturen wurden geschont und die Verschraubungspunkte entsprechend der gegebenen Knochendicke gew\u00e4hlt. Die Implantation der vorangepassten Titanplatte erfolgte komplikationslos ohne weitere intraoperative Anpassungen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerung<\/jats:title><jats:p>Die Voranpassung plattenbasierter Ankersysteme f\u00fcr faziale Epithesen am 3\u2011D-Druck des Mittelgesichts \u00fcberwindet deren Nachteile einer aufwendigen ggf. unpr\u00e4zisen intraoperativen individuellen Anpassung. Diese Methode spielt die Vorteile der besseren Kraftverteilung durch mehr m\u00f6gliche Verschraubungen, auch in d\u00fcnnerem Knochen, weiter aus und kann somit Implantatlockerungen vorbeugen. Zudem erm\u00f6glicht die Voranpassung am 3\u2011D-Modell die bessere Identifikation und Schonung wichtiger anatomischer Strukturen und spart Op.-Zeit ein.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00106-021-01100-6","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T13:08:52Z","timestamp":1630415332000},"page":"200-205","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["3-D-Druck-optimierte Anpassung eines Mittelgesichtsimplantats zur magnetgetragenen nasalen Epithesenversorgung","Optimized fitting of a\u00a0midface implant to anchor a\u00a0magnetic nasal prosthesis using 3D printing"],"prefix":"10.1007","volume":"70","author":[{"given":"Christian","family":"Wrobel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Keppeler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander C.","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,31]]},"reference":[{"issue":"11","key":"1100_CR1","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1001\/archotol.1988.01860230101034","volume":"114","author":"RJ Stanley","year":"1988","unstructured":"Stanley\u00a0RJ, Olsen\u00a0KD (1988) Rhinectomy for malignant disease. 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