Oral and Maxillofacial Surgery
In the specialty of oral and maxillofacial surgery 3D technology is used frequently in daily practice. The use of this technology assures safer, faster and more accurate surgical procedures. In addition, this technology is applied by the physician to discuss treatment options with the patients, in order to optimize the shared decision for the treatment.
The UMCG 3D lab was initiated by the department of OMFS and it is, therefore, also the department that has had the largest contribution to the development of the 3D technology and its safe and adequate clinical application in our institution.
The use of 3D virtual surgical planning and patient-specific guides are used for a variety of procedures within the specialty of neurosurgery. One of the major procedures that involves the use of 3D technology is the screw insertion during spinal fixation surgery, where 3D-printed drill guides help to achieve more accurate screw positioning. In addition, the correction of severe kyphoscoliosis (together with the Orthopedics department) and the reconstruction of skull defects, are procedures in which 3D technology helps to achieve safer and more accurate surgical outcomes.
Complex injuries are often dealt with in the field of trauma surgery. Using 3D imaging, these injuries can be visualized more accurately to increase the surgeons understanding of the injury. Furthermore, it is also possible to create a surgical planning and to 3D print patient-specific accessories to carry out the surgical plan.
The orthopedic surgeons performs scoliosis surgery with the help of 3D virtual planning and patient-specific guides. In this field, 3D technology is also used for the design and fabrication of patient-specific antibiotic loaded cement spacers, that replace prosthesis after infections. In addition to surgical accessories, it is also possible to produce patient specific implants.
For many interventions within various disciplines, having a 3D virtual planning is not sufficient to achieve the desired result and physical medical devices are required. The 3D lab applies techniques, software and knowledge to develop patient-specific devices in addition to a virtual planning, varying from drilling and sawing templates to patient-specific implants and prostheses.
Onclin P; Kraeima J; Merema BBJ; Meijer HJA; Vissink A; Raghoebar GM, 2020. Utilising the nasal aperture for template stabilisation for guided surgery in the atrophic maxilla.  Int J Implant Dent 6(1):23
Merema BBJ; Kraeima J; de Visscher SAHJ; van Minnen B; Spijkervet FKL; Schepman KP; Witjes MJH, 2020. Novel finite element-based plate design for bridging mandibular defects: Reducing mechanical failure.  Oral Dis.
Glas HH; Vosselman N; de Visscher SAHJ, 2020. The use of 3D virtual surgical planning and computer aided design in reconstruction of maxillary surgical defects.  Curr Opin Otolaryngol Head Neck Surg 28(2):122-128
Tuin AJ; Meulstee JW; Loonen TGJ; Kraeima J; Spijkervet FKL; Vissink A; Jansma J; Schepers RH, 2020. Three-dimensional facial volume analysis using algorithm-based personalized aesthetic templates.  Int J Oral Maxillofac Surg.
van der Helm HC; Kraeima J; Xi T; Jansma J; Schepers RH, 2020. The use of xenografts to prevent inferior border defects following bilateral sagittal split osteotomies: three-dimensional skeletal analysis using cone beam computed tomography.  Int J Oral Maxillofac Surg.
Merema BJ; Kraeima J; Glas HH; Spijkervet FKL; Witjes MJH, 2020. Patient-specific finite element models of the human mandible; lack of consensus on current setups.  Oral Dis.
Kraeima J; Schepers RH; Spijkervet FKL; Maal TJJ; Baan F; Witjes MJH; Jansma J, 2020. Splintless surgery using patient-specific osteosynthesis in Le Fort I osteotomies: a randomized controlled multi-centre trial.  Int J Oral Maxillofac Surg 49(4):454-460
Vosselman N; Merema BJ; Raghoebar GM; Vissink A, 2019. Differences in approach for sub-periosteal zygoma implant designs.  Int J Oral Maxillofac Surg 48(12):1605-1606
Vosselman N; Merema BJ; Schepman KP; Raghoebar GM, 2019. Patient-specific sub-periosteal zygoma implant for prosthetic rehabilitation of large maxillary defects after oncological resection.  Int J Oral Maxillofac Surg 48(1):115-117
Geertzen JHB; van der Schans SM; Jutte PC; Kraeima J; Otten E; Dekker R, 2019. Myodesis or myoplasty in trans-femoral amputations. What is the best option? An explorative study.  Med Hypotheses 124:7-12
Qiu B; Guo J; Kraeima J; Glas HH; Borra RJH; Witjes MJH; van Ooijen PMA, 2019. Automatic segmentation of the mandible from computed tomography scans for 3D virtual surgical planning using the convolutional neural network.  Phys Med Biol 64(17):175020
Pijpker PAJ; Wagemakers M; Kraeima J; Vergeer RA; Kuijlen JMA; Groen RJM, 2019. Three-Dimensional Printed Polymethylmethacrylate Casting Molds for Posterior Fossa Reconstruction in the Surgical Treatment of Chiari I Malformation: Technical Note and Illustrative Cases.  World Neurosurg 129:148-156
Meesters AML; Kraeima J; Banierink H; Slump CH; de Vries JPPM; Ten Duis K; Witjes MJH; IJpma FFA, 2019. Introduction of a three-dimensional computed tomography measurement method for acetabular fractures.  PLoS One 14(6):e0218612
Pijpker PAJ; Kraeima J; Witjes MJH; Oterdoom DLM; Coppes MH; Groen RJM; Kuijlen JMA, 2019. Accuracy Assessment of Pedicle and Lateral Mass Screw Insertion Assisted by Customized 3D-Printed Drill Guides: A Human Cadaver Study.  Oper Neurosurg (Hagerstown) 16(1):94-102
Assink N; Kraeima J; Slump CH; Ten Duis K; de Vries JPPM; Meesters AML; van Ooijen P; Witjes MJH; IJpma FFA, 2019. Quantitative 3D measurements of tibial plateau fractures.  Sci Rep 9(1):14395
Rivas R; Overbosch J; Kwee T; Kraeima J; Dierckx RAJO; Jutte PC; van Ooijen PM, 2019. Radiofrequency ablation of atypical cartilaginous tumors in long bones: a retrospective study.  Int J Hyperthermia 36(1):1189-1195
Kraeima J; Steenbakkers RJHM; Spijkervet FKL; Roodenburg JLN; Witjes MJH, 2018. Secondary surgical management of osteoradionecrosis using three-dimensional isodose curve visualization: a report of three cases.  Int J Oral Maxillofac Surg 47(2):214-219
de Kleijn BJ; Kraeima J; Wachters JE; van der Laan BFAM; Wedman J; Witjes MJH; Halmos GB, 2018. Virtual 3D planning of tracheostomy placement and clinical applicability of 3D cannula design: a three-step study.  Eur Arch Otorhinolaryngol 275(2):451-457
Witjes MJH; Schepers RH; Kraeima J, 2018. Impact of 3D virtual planning on reconstruction of mandibular and maxillary surgical defects in head and neck oncology.  Curr Opin Otolaryngol Head Neck Surg 26(2):108-114
Kraeima J; Glas HH; Witjes MJH; Schepman KP, 2018. Patient-specific pre-contouring of osteosynthesis plates for mandibular reconstruction: Using a three-dimensional key printed solution.  J Craniomaxillofac Surg 46(6):1037-1040
Kraeima J; Merema BJ; Witjes MJH; Spijkervet FKL, 2018. Development of a patient-specific temporomandibular joint prosthesis according to the Groningen principle through a cadaver test series.  J Craniomaxillofac Surg 46(5):779-784
Hoving AM; Kraeima J; Schepers RH; Dijkstra H; Potze JH; Dorgelo B; Witjes MJH, 2018. Optimisation of three-dimensional lower jaw resection margin planning using a novel Black Bone magnetic resonance imaging protocol.  PLoS One 13(4):e0196059
Kraeima J; Dorgelo B; Gulbitti HA; Steenbakkers RJHM; Schepman KP; Roodenburg JLN; Spijkervet FKL; Schepers RH; Witjes MJH, 2018. Multi-modality 3D mandibular resection planning in head and neck cancer using CT and MRI data fusion: A clinical series.  Oral Oncol 81:22-28
Pijpker PAJ; Kuijlen JMA; Kraeima J; Faber C, 2018. Three-Dimensional Planning and Use of Individualized Osteotomy-Guiding Templates for Surgical Correction of Kyphoscoliosis: A Technical Case Report.  World Neurosurg 119:113-117
Merema BJ; Kraeima J; Ten Duis K; Wendt KW; Warta R; Vos E; Schepers RH; Witjes MJH; IJpma FFA, 2017. The design, production and clinical application of 3D patient-specific implants with drilling guides for acetabular surgery.  Injury 48(11):2540-2547
Verhulst AC; Wesselius TS; Glas HH; Vreeken RD; Ulrich DJO; Maal TJJ, 2017. Accuracy and reproducibility of a newly developed tool for volume measurements of the arm using 3D stereophotogrammetry.  J Plast Reconstr Aesthet Surg 70(12):1753-1759
Filius MAP; Kraeima J; Vissink A; Janssen KI; Raghoebar GM; Visser A, 2017. Three-dimensional computer-guided implant placement in oligodontia.  Int J Implant Dent 3(1):30
Kraeima J; Jansma J; Schepers RH, 2016. Splintless surgery: does patient-specific CAD-CAM osteosynthesis improve accuracy of Le Fort I osteotomy?  Br J Oral Maxillofac Surg 54(10):1085-1089
Wijbenga JG; Schepers RH; Werker PM; Witjes MJ; Dijkstra PU, 2016. A systematic review of functional outcome and quality of life following reconstruction of maxillofacial defects using vascularized free fibula flaps and dental rehabilitation reveals poor data quality.  J Plast Reconstr Aesthet Surg 69(8):1024-36
Schepers RH; Kraeima J; Vissink A; Lahoda LU; Roodenburg JL; Reintsema H; Raghoebar GM; Witjes MJ, 2016. Accuracy of secondary maxillofacial reconstruction with prefabricated fibula grafts using 3D planning and guided reconstruction.  J Craniomaxillofac Surg 44(4):392-9
Kraeima J; Schepers RH; van Ooijen PM; Steenbakkers RJ; Roodenburg JL; Witjes MJ, 2015. Integration of oncologic margins in three-dimensional virtual planning for head and neck surgery, including a validation of the software pathway.  J Craniomaxillofac Surg 43(8):1374-9
Schepers RH; Raghoebar GM; Vissink A; Stenekes MW; Kraeima J; Roodenburg JL; Reintsema H; Witjes MJ, 2015. Accuracy of fibula reconstruction using patient-specific CAD/CAM reconstruction plates and dental implants: A new modality for functional reconstruction of mandibular defects.  J Craniomaxillofac Surg 43(5):649-57
Schepers RH; Raghoebar GM; Vissink A; Lahoda LU; van der Meer WJ; Roodenburg JL; Reintsema H; Witjes MJ, 2013. [Three dimensional technology and reconstructions of large defects of the jaw].  Ned Tijdschr Tandheelkd 120(9):462-8
Schepers RH; Raghoebar GM; Vissink A; Lahoda LU; Van der Meer WJ; Roodenburg JL; Reintsema H; Witjes MJ, 2013. Fully 3-dimensional digitally planned reconstruction of a mandible with a free vascularized fibula and immediate placement of an implant-supported prosthetic construction.  Head Neck 35(4):E109-14
9700 RB Groningen, The Netherlands