Журнал морфологии и анатомии

Anatomy-imaging Analysis of the Labio-Maxillo-Palatine Clefts with Getting Printed 3D Models

Abstract

Ruxandra Vatavu*

Labio-maxillo-palatine clefts are malformations of viscerocranium that require a multidisciplinary team for establishing a diagnosis and treatment, involving multiple specialties such as plastic surgery, maxillofacial surgery, ENT, paediatrics, speech therapy, orthodontics. For the accuracy of the diagnosis and treatment these patients require multiple explorations that will involve multiple doses of irradiation. The exploration of these patients starts at an early age and that’s why should have a limited indication. CBCT is a modern exploration that offers a low dose of irradiation. The principle that CBCT uses is similar to the principle of explorations real-time imaging in operating rooms when surgery takes place. Bone defects in the labio-maxillo-palatine clefts require a correct evaluation for the planning of the augmentation intervention of these defects, and the CBCT allows for an optimal 3D assessment to determine their dimensions and the bone required. The use of these explorations facilitates the operating steps. With the development of CBCT, visualization programs and analysis of these explorations were also developed, with necessary tools in linear and volumetric measurement of alveolar bone defect. We performed a retrospective study on patients with labio-maxillo-palatine clefts, diagnosed in the Paediatric Surgery Clinic, Saint Mary's Children's Hospital, Iasi in 2019 to demonstrate the need for an accurate diagnosis using this radiological technique, CBCT and digital planning, and on printed 3D models of surgical interventions to correct alveolar bone defects of the labio-maxillo-palatine clefts.