Abstract
Background
Familial gigantiform cementoma (FGC) is a rare benign fibrocemento-osseous lesion of the jaw characterized by well-circumscribed, extensive, mixed radiolucent-radiopaque masses in the mandible and the maxilla that can cause severe facial deformity. This condition is extremely rare with less than 40 cases reported in the literature.
Purpose
The purpose of the paper is to highlight the importance of virtual surgical planning and patient-specific implant in the treatment of a complex lesion and reconstruction of the facial skeleton. The clinical presentations, and diagnostic challenges encountered when managing the lesion have been discussed in this article with emphasis on the treatment plan.
Method/Surgical plan
The sequence of treatment planned was resection of the lesion and immediate reconstruction with a patient-specific implant to improve the patient’s quality of life. The management of FGC was a challenging one keeping in mind the rapid expansion of the lesion, widespread involvement of the jaws, and needs of the pediatric patient.
Conclusion
Virtual surgical planning (VSP) along with 3D printed implant was instrumental in reconstructing the facial form of the child where the maxilla was completely resected and rehabilitation provided support to the vital structures of the face.
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References
Prasad C, Kumar KA, Balaji J, Arulmozhi M, Jayanandhini S, Priyadharshini R (2022) A family of familial gigantiform cementoma: clinical study. J Maxillofac Oral Surg 21(1):44–50. https://doi.org/10.1007/s12663-021-01515-2
Abdelsayed RA, Eversole LR, Singh BS, Scarbrough FE (2001) Gigantiform cementoma: clinicopathologic presentation of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91(4):438–444. https://doi.org/10.1067/moe.2001.113108
Young SK, Markowitz NR, Sullivan S, Seale TW, Hirschi R (1989) Familial gigantiform cementoma: classification and presentation of a large pedigree. Oral Surg Oral Med Oral Pathol 68(6):740–747. https://doi.org/10.1016/0030-4220(89)90165-5
Finical SJ, Kane WJ, Clay RP, Bite U (1999) Familial gigantiform cementoma. Plast Reconstr Surg 103(3):949–954. https://doi.org/10.1097/00006534-199903000-00027
Rossbach HC, Letson D, Lacson A, Ruas E, Salazar P (2005) Familial gigantiform cementoma with brittle bone disease, pathologic fractures and osteosarcoma: a possible explanation of an ancient mystery. Pediatr Blood Cancer 44:390–396
Yadav S, Bal M, Qureshi S (2021) Familial gigantiform cementoma with calcium steal phenomenon and social stigma: a case report with review of literature. J Maxillofac Oral Surg. https://doi.org/10.1007/s12663-021-01521-4
Wang HW, Yu M, Qin XJ, Zhang CP (2015) Familial gigantiform cementoma: distinctive clinical features of a large Chinese pedigree. Br J Oral Maxillofac Surg 53(1):83–85
Wang H-W, Ma C-Y, Qin X-J, Zhang C-P (2017) Management strategy in patient with familial gigantiform cementoma. Medicine. https://doi.org/10.1097/md.0000000000009138
Noffke C, Ngwenya S, Nzima N, Raubenheimer E, Rakgwale N (2012) Gigantiform cementoma in a child. Dentomaxillofac Radiol 41(3):264–266
Huang MF, Alfi D, Alfi J, Huang AT (2019) The use of patient-specific implants in oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am 31(4):593–600. https://doi.org/10.1016/j.coms.2019.07.010
Owusu JA, Boahene K (2015) Update of patient-specific maxillofacial implant. Curr Opin Otolaryngol Head Neck Surg 23(4):261–264. https://doi.org/10.1097/MOO.0000000000000175
Yagiz A, Dogru SC, Üzel M, Kocaelli H, Arslan YZ, Cansiz E (2021) Design of patient-specific maxillofacial implants and guides. In: Sharma NR, Subburaj K, Sandhu K, Sharma V (eds) Applications of 3D printing in biomedical engineering. Springer, Singapore. https://doi.org/10.1007/978-981-33-6888-0_5
Hua J, Aziz S, Shum JW (2019) Virtual surgical planning in oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am 31(4):519–530. https://doi.org/10.1016/j.coms.2019.07.011
Jacobs CA, Lin AY (2017) A new classification of three-dimensional printing technologies: sya stematic review of three-dimensional printing for patient-specific craniomaxillofacial surgery. Plast Reconstr Surg 139(5):1211–1220
Alasseri N, Alasraj A (2020) Patient-specific implants for maxillofacial defects: challenges and solutions. Maxillofac Plast Reconstr Surg 42:15. https://doi.org/10.1186/s40902-020-00262-7
Acknowledgment
We would like to thank Dr. John Nesan from “Center for Technology Assisted Reconstructive Surgery (C.T.A.R.S)” Chennai and their team for the support provided for virtual surgical planning and patient-specific implant in this case.
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Arunkumar, K., Prasad, C., Balaji, J. et al. Familial Gigantiform Cementoma: Life-Saving Total Midface Resection and Reconstruction Using Virtual Surgical Planning and 3D Printed Patient-Specific Implant—A Clinical Study. J. Maxillofac. Oral Surg. 22 (Suppl 1), 145–150 (2023). https://doi.org/10.1007/s12663-023-01902-x
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DOI: https://doi.org/10.1007/s12663-023-01902-x