Published by Ziehm Imaging GmbH Germany

Image
of the Year

Clinical head image of a patient with juvenile arthritis.
2022
Acquired at the TAYS University Hospital, Tampere, Finland, by Dr. Aimo Miettinen using a Ziehm Vision RFD 3D.

The most common rheumatic disease in children under 16 is juvenile arthritis. This autoimmune disease attacks the synovial membrane and can damage patients’ cartilage, bones, tendons, and ligaments. Medication is usually the treatment. However, deformities caused by the disease often require surgical correction.

 

In this patient, born in 1984, both tem­po­ro­man­dib­ular joints were destroyed by the disease, and the lower jaw was retro­gnathic. The surgery included an implant for both tem­po­ro­man­dib­ular joints, a LeFort I osteotomy for the upper jaw, and a genio­plasty. The surgery was virtually planned based on a CT data set. During the surgery, the Ziehm Vision RFD 3D provided support with innovative 3D technology. This enabled the physician to view the relevant tissue at the outset using 3D images and to identify the correct site for the incision. Final 3D images ensured the correct positioning of the implants.

Image of the Year

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