Experience of clinical application of customized titanium implants created with additive manufacturing methods in maxillofacial surgery – I.V. Ponomarev, A.A. Zakirova, D.S. Svyatoslavov, P.A. Karalkin, E.V. Cherevko, S.K. Alekseeva, A.A. Nebezhev, K.A. Makoveev, D.Yu. Chuvilin, V.V. Samsonov, I.V. Reshetov, Yu.S. Romanko

Background. Mine blast, shrapnel, and gunshot wounds of the craniofacial region are the most difficult to reconstruct, which is due to both the complex anatomical structure and the need to restore functional abilities. The multifocal nature of the injury requires careful alignment and fixation of the fragments or replacement of whole bone fragments bearing functional and aesthetic significance. The optimal solution to this problem is the use of customized titanium implants created with additive manufacturing methods based on CT and MRI data. The aim of the study was to use customized titanium implants in patients with combat injuries of the maxillofacial region. Clinical observations are presented by the cases of male patients E., 39 years old, and G., 40 years old, who were injured as a result of a combined traumatic factor. Conclusion. Active introduction of 3D modeling and additive technologies into routine medical practice can reduce the duration of surgical intervention, minimize possible complications, increase the effectiveness of treatment and reduce the rehabilitation time for patients at all stages. Keywords: additive technologies, titanium implants, maxillofacial defects, trauma, combat trauma, maxillofacial prosthesis, reconstructive surgery Conflicts of interest. The authors have no conflicts of interest to declare. Funding. There was no funding for this study