30-year-old man’s upper jaw reconstructed with 3D technology at Paras Health Srinagar
Srinagar, Feb 25: Paras Health Srinagar on Tuesday said that it successfully performed an advanced 3D Rapid Prototyping-based free flap reconstruction on a 30-year-old man diagnosed with residual sarcoma of the upper jaw.
A statement of the Paras Health Srinagar issued here said that the patient had previously undergone treatment, but some of the disease remained, requiring a complex, multidisciplinary surgical approach to ensure complete excision and functional restoration.
“The case was thoroughly discussed in the multidisciplinary tumour board at Paras Health Srinagar, where a team of oncologists, reconstructive surgeons, radiologists, and pathologists collaborated to determine the best course of action. Given the extensive involvement of the central upper jaw, the team planned a cutting-edge 3D-printed fibula-free flap reconstruction to restore the jaw’s structure and function. This technique, which is performed in select centres in India, including at Paras Health Srinagar, allowed for precise preoperative planning, accurate anatomical modelling, and significantly reduced surgical time," the statement said. “The team of reconstructive surgeons, which was led by Associate Director of Surgical Oncology at Paras Health, Srinagar, Dr Azhar Jan Battoo, included senior oncoplastic surgeon Dr Abid Saleem, onco prosthodontist Dr Waseem Bhat."
Commenting on the success of the case, Dr Battoo said, “This case marks a significant milestone in surgical oncology and reconstruction. The use of 3D rapid prototyping allowed us to plan and execute the surgery with exceptional precision. We were able to shape the graft before harvesting it, ensuring a perfect fit for the patient’s jaw. While fibula-free flap reconstruction is performed at several centres, what makes this case unique is the preoperative 3D modelling, which significantly enhances accuracy and efficiency. The patient was discharged on the fifth day in excellent condition, and we expect him to lead a completely normal life once his final dental rehabilitation is completed.”
The surgical process involves multiple steps to ensure the best possible outcome for the patient.
High-resolution CT and MRI scans were used to generate a detailed 3D model of the affected area, which was then 3D printed to guide the surgical excision and reconstruction.
The fibula bone from the patient’s leg, which is non-essential for daily movement, was used to reconstruct the jaw.
With the help of the 3D-printed templates and cutting guides, the fibula bone was shaped to precisely match the patient’s original jaw structure before being transplanted.
The team meticulously joined the veins and arteries from the newly reconstructed jaw to the patient’s neck, ensuring proper blood supply and viability of the flap.
A temporary jaw prosthesis was made and permanent dental implants will be integrated within the next 5-6 months, restoring the patient’s full oral function and appearance.
