Interactive operation

ISCOMS 2017 offers you the opportunity to experience a surgery together with the other participants. We will show you an operation that has taken place last year and was shown at ISCOMS 2016. During the display of this video, an Oral-Maxillofacial Surgeon, Plastic Surgeon and a Technical Physician will be on stage to guide us through the operation, respectively. Max Witjes DMD PhD, Martin Stenekes PhD and Joep Kraeima MSc. Additionally to last year, some other uses of 3D printing will be shown.

The Interactive Operation will be on the removal of a malignant deformity in the mandibula; a part of the mandible needs to be replaced because of this removal. This replacement will be performed by reconstructing a part of the fibula into the form of the mandible by using 3D-scanners and 3D-printers.

Through several CT-scans, a digital 3-dimensional image of the cranium will be obtained. Due to this virtual 3D image, several preparations for the surgery will be made; the specialists know the exact size of the deformity. Based on this format, the 3D-printer will produce a 3D mold that will assist the surgeon to remove the abnormality with millimetre precision. A mold will be made for the reconstruction of the fibula as well. This mold will contain the exact locations where bone of the fibula has to be removed in order to get the round shape like a jaw and fit exactly in the hole of the removed deformity. After fulfilment fulfillment of our goals, the fibula parts will be attached on a titanium plate, which is also planned virtually. The entire construction of fibula parts and the titanium plate will be placed in the hole of the jaw and will be attached to the remaining parts of the original jaw.

Max Witjes and Martin Stenekes will be in charge during the procedure and will perform a major part of the operation. Joep Kraeima will be responsible for the molds and the 3D images and thereby for the virtual preparations. Together they will be on stage to answer all your questions.

This is not the operation we initially wanted to show you. However, due to unexpected circumstances we had to cancel the operation in which multiple carcinomas are removed with fluorescence. We are very sorry that this happened. We would like you to know that we have tried everything in our power to make sure we would be able to show it to you. Fortunately, we do have this interesting alternative.