W H Wang1, J Zhu, J Y Deng, B Xia, B Xu. 1. Department of Oral and Maxillofacial Surgery, Affiliated Stomatology Hospital of Kunming Medical University, No.193 Renmingxi Road, Kunming, Yunnan 650031, China. wwh2002191@yahoo.com.cn
Abstract
OBJECTIVE: The aim of this study is to demonstrate the reconstruction of mandibular defects including the condyle using a double-barrel vascularized fibula flap aided by three-dimensional virtual technology. METHODS: Ten patients with the type H mandibular defects, who had undergone mandibular reconstruction using a double-barrel vascularized fibula flap, were reviewed for this study. Prior to the surgery, the patients CT scan data were analyzed virtually using SimPlant Pro™ software (version 11.04). The simulation allowed construction of an individual mandibular model serving to guide the clinical operation. RESULTS: The preoperative virtual surgery greatly benefitted the actual surgery. The vertical height of the neomandible and facial contour were precisely predicted. Some minor complications were encountered. Postoperative three-dimensional reconstruction revealed a close match with the simulated condyle. CONCLUSION: A double-barrel vascularized fibula flap can provide sufficient bone, both in length and vertical height, for the reconstruction of a type H mandibular condylar defect. Combined virtual three-dimensional reconstruction and rapid prototyping can improve postoperative outcomes in mandibular reconstruction.
OBJECTIVE: The aim of this study is to demonstrate the reconstruction of mandibular defects including the condyle using a double-barrel vascularized fibula flap aided by three-dimensional virtual technology. METHODS: Ten patients with the type H mandibular defects, who had undergone mandibular reconstruction using a double-barrel vascularized fibula flap, were reviewed for this study. Prior to the surgery, the patients CT scan data were analyzed virtually using SimPlant Pro™ software (version 11.04). The simulation allowed construction of an individual mandibular model serving to guide the clinical operation. RESULTS: The preoperative virtual surgery greatly benefitted the actual surgery. The vertical height of the neomandible and facial contour were precisely predicted. Some minor complications were encountered. Postoperative three-dimensional reconstruction revealed a close match with the simulated condyle. CONCLUSION: A double-barrel vascularized fibula flap can provide sufficient bone, both in length and vertical height, for the reconstruction of a type H mandibular condylar defect. Combined virtual three-dimensional reconstruction and rapid prototyping can improve postoperative outcomes in mandibular reconstruction.
Authors: F Iglesias-Martín; L-G Oliveros-López; A Fernández-Olavarría; M-A Serrera-Figallo; A Gutiérrez-Corrales; D Torres-Lagares; J-L Gutiérrez-Pérez Journal: Med Oral Patol Oral Cir Bucal Date: 2018-09-01
Authors: Andrzej Wojtowicz; Monika Jodko; Jan Perek; Wojciech Popowski Journal: Wideochir Inne Tech Maloinwazyjne Date: 2014-05-29 Impact factor: 1.195