BACKGROUND: Tumors of the mandible are complex, often requiring replacement of bone, soft tissue, and teeth. The fibula flap has become a routine procedure in large tumors of the jaw, providing bone and soft tissue at the time of the resection. In current practice, dental reconstruction is delayed for 3 to 6 months, leaving the patient without teeth in the interim. This can be disfiguring and anxiety provoking for the patient. METHODS: In this article, the authors present three patients with benign tumors of the mandible who underwent virtually guided resection, fibula reconstruction, and insertion of an implant-retained dental prosthesis in one operation. In addition, the authors report their early experience using this technique in the maxilla. RESULTS: The authors present a case series of three patients with benign mandibular tumors and one patient with a benign maxillary tumor who underwent total reconstruction using computer-aided design and computer-aided manufacturing technology in a single stage. CONCLUSIONS: In the right situation, total mandibular reconstruction is possible in a single stage. This is demonstrated by the successful outcomes of these patients. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
BACKGROUND:Tumors of the mandible are complex, often requiring replacement of bone, soft tissue, and teeth. The fibula flap has become a routine procedure in large tumors of the jaw, providing bone and soft tissue at the time of the resection. In current practice, dental reconstruction is delayed for 3 to 6 months, leaving the patient without teeth in the interim. This can be disfiguring and anxiety provoking for the patient. METHODS: In this article, the authors present three patients with benign tumors of the mandible who underwent virtually guided resection, fibula reconstruction, and insertion of an implant-retained dental prosthesis in one operation. In addition, the authors report their early experience using this technique in the maxilla. RESULTS: The authors present a case series of three patients with benign mandibular tumors and one patient with a benign maxillary tumor who underwent total reconstruction using computer-aided design and computer-aided manufacturing technology in a single stage. CONCLUSIONS: In the right situation, total mandibular reconstruction is possible in a single stage. This is demonstrated by the successful outcomes of these patients. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
Authors: John T Stranix; Carrie S Stern; Michael Rensberger; Ian Ganly; Jay O Boyle; Robert J Allen; Joseph J Disa; Babak J Mehrara; Evan S Garfein; Evan Matros Journal: Plast Reconstr Surg Date: 2019-04 Impact factor: 4.730
Authors: Christopher M Runyan; Vishal Sharma; David A Staffenberg; Jamie P Levine; Lawrence E Brecht; Leonard H Wexler; David L Hirsch Journal: J Craniofac Surg Date: 2016-11 Impact factor: 1.046
Authors: Christopher D Lopez; J Rodrigo Diaz-Siso; Lukasz Witek; Jonathan M Bekisz; Bruce N Cronstein; Andrea Torroni; Roberto L Flores; Eduardo D Rodriguez; Paulo G Coelho Journal: J Surg Res Date: 2017-11-17 Impact factor: 2.192
Authors: Nicole Wake; Amy E Alexander; Andy M Christensen; Peter C Liacouras; Maureen Schickel; Todd Pietila; Jane Matsumoto Journal: 3D Print Med Date: 2019-12-30