case_images: PMC10976518_01
case_images: (A) Initial presentation after traumatic nasal avulsion; (B) immediate microvascular reattachment of the avulsed tissue; (C) necrosis of the avulsed tissue, 1 week after anastomosis; (D) situation after removal of the necrotized tissue.
case_images: fsurg-11-1330889-g001.jpg
case_images: PMC10976518_01_fsurg-11-1330889-g001.jpg
case_images: F1
case_images: Eleven days later, the tissue necrotized and had to be removed (Figure 1).
case_images: (A) Virtual planning of the patient specific implant in frontal view. (B) Position of the PSI with surrounding soft tissue mask in frontal view. (C) PSI with fitted retention clips. (D) 3D printed titanium patient specific implant (CADskills bv, Gent, Belgium).
case_images: fsurg-11-1330889-g002.jpg
case_images: PMC10976518_01_fsurg-11-1330889-g002.jpg
case_images: F2
case_images: Aside from the important surgical aspects, the position of the PSI is crucial for the final prosthetic result (Figure 2).
case_images: Follow-up 5 months postoperative. (A) 3D reconstruction of the postoperative computed tomography (CT) scan with the patient specific implant (PSI) in place. (B) Clinical picture of the patient with the PSI in place. (C) Axial view of the postoperative CT-scan indicating a close position of the osteosynthesis screws to the root of the canine teeth. (D) Clinical picture of the patient with the nasal prosthesis fixed to the PSI.
case_images: fsurg-11-1330889-g003.jpg
case_images: PMC10976518_01_fsurg-11-1330889-g003.jpg
case_images: F3
case_images: Post-operative computed tomography imaging showed a good seating of the patient specific implant on the paranasal bone without damage to the dental roots (Figure 3).
case_images: Follow-up 18 months postoperative. Clinical picture demonstrating growth of the nasal septum towards the PSI.
case_images: fsurg-11-1330889-g004.jpg
case_images: PMC10976518_01_fsurg-11-1330889-g004.jpg
case_images: F4
case_images: Follow-up for 18 months has been uneventful, however we now see contact of the nasal septum with the PSI (Figure 4).