CASE REPORT article
Front. Vet. Sci.
Sec. Veterinary Neurology and Neurosurgery
Volume 12 - 2025 | doi: 10.3389/fvets.2025.1647992
This article is part of the Research TopicCase Reports in Veterinary Neurology and Neurosurgery, Volume IIView all 14 articles
Novel Approach to a Severe Craniomaxillofacial Trauma in a Military Working Dog Using a Customized 3D-printed mold for printed polymethylmethacrylate (PMMA) Plate - A Case Report
Provisionally accepted
- 1Hebrew University of Jerusalem Koret School of Veterinary Medicine, Rehovot, Israel
- 2Koret School of Veterinary Medicine, The Robert H. Smith Faculty of Agriculture, Food and Environment, Hebrew University of Jerusalem, Jerusalem, Israel
- 3Hebrew University of Jerusalem Robert H Smith Faculty of Agriculture Food and Environment, Rehovot, Israel
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Abstract Objective: To describe a novel two-stage surgical approach for managing complex craniomaxillofacial trauma in a military working dog, including the use of an individualized 3D-printed polymethylmethacrylate (PMMA) plate for frontal bone reconstruction. Case Summary: A 3-year-old Belgian Malinois sustained severe head trauma during combat. Clinical examination revealed facial deformation, respiratory distress, and neurological signs. computerized tomography (CT) imaging confirmed multiple fractures, including the frontal and nasal bones, cribriform plate, and frontal sinus, with pneumocephalus. A two-stage approach was employed: 1) Initial stabilization, including a tracheostomy to address respiratory issues and manage intracranial pressure, along with surgical debridement and closure of the frontal sinus. 2) Reconstruction using an individualized 3D-PMMA plate using a customized 3D-printed mold to restore frontal bone integrity. New or Unique Information Provided: This report presents a novel approach to managing complex craniomaxillofacial trauma in dogs, particularly those involving extensive frontal sinus and nasal bone fractures with intracranial complications. The use of an individualized 3D-PMMA plate for frontal bone reconstruction represents a significant advancement in veterinary CMF trauma management, offering a potential solution for achieving both functional and cosmetic outcomes in challenging cases. This case contributes to the limited existing literature on the management of severe frontal sinus fractures in dogs.
Keywords: Frontal Bone, reconstruction, head trauma, Facial deformation, Cribriform plate, Pneumocephalus, Frontal Sinus
Received: 16 Jun 2025; Accepted: 20 Oct 2025.
Copyright: © 2025 Babenko, Srugo, Peery, Kelmer and Klainbart. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: SIgal Klainbart, klainbart@gmail.com
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