Surgical planning and microvascular reconstruction of the mandible with a fibular flap using computer-aided design, rapid prototype modelling, and precontoured titanium reconstruction plates: a prospective study.

作者: R. Sieira Gil , A. Marí Roig , C. Arranz Obispo , A. Morla , C. Martí Pagès

DOI: 10.1016/J.BJOMS.2014.09.015

关键词:

摘要: The standard of mandibular reconstruction has increased since the introduction computer-assisted design (CAD) and rapid prototype modelling (RPM) for surgical planning. Between 2008 2013, a prospective pilot study 20 patients was planned to compare outcomes treated by who had CAD RPM-guided operations using precontoured titanium plate, with conventionally. We recorded time taken reconstruction, total operating time, whether this type planning could improve results reconstruction. found significant differences in incidence dental malocclusion (p=0.03) exposure plate (p=0.009). mean preoperative group 135 (37)min compared 176 (58)min conventional (p=0.04). Preoperative RPM can increase accuracy microvascular reduce

参考文章(25)
Ali Modabber, Christina Legros, Majeed Rana, Marcus Gerressen, Dieter Riediger, Alireza Ghassemi, Evaluation of computer-assisted jaw reconstruction with free vascularized fibular flap compared to conventional surgery: a clinical pilot study The International Journal of Medical Robotics and Computer Assisted Surgery. ,vol. 8, pp. 215- 220 ,(2012) , 10.1002/RCS.456
J.-Y. Choi, J.-H. Choi, N.-K. Kim, Y. Kim, J.-K. Lee, M.-K. Kim, J.-H. Lee, M.-J. Kim, Analysis of errors in medical rapid prototyping models. International Journal of Oral and Maxillofacial Surgery. ,vol. 31, pp. 23- 32 ,(2002) , 10.1054/IJOM.2000.0135
Xiao-jing Liu, Lai Gui, Chi Mao, Xin Peng, Guang-yan Yu, Applying computer techniques in maxillofacial reconstruction using a fibula flap: a messenger and an evaluation method. Journal of Craniofacial Surgery. ,vol. 20, pp. 372- 377 ,(2009) , 10.1097/SCS.0B013E31819B9443
Steven M. Roser, Srinivasa Ramachandra, Henry Blair, William Grist, Grant W. Carlson, Andrew M. Christensen, Katherine A. Weimer, Martin B. Steed, The accuracy of virtual surgical planning in free fibula mandibular reconstruction: comparison of planned and final results. Journal of Oral and Maxillofacial Surgery. ,vol. 68, pp. 2824- 2832 ,(2010) , 10.1016/J.JOMS.2010.06.177
Douglas P. Sinn, Joseph E. Cillo, Brett A. Miles, Stereolithography for craniofacial surgery. Journal of Craniofacial Surgery. ,vol. 17, pp. 869- 875 ,(2006) , 10.1097/01.SCS.0000230618.95012.1D
David A. Hidalgo, Fibula free flap: a new method of mandible reconstruction. Plastic and Reconstructive Surgery. ,vol. 84, pp. 71- 79 ,(1989) , 10.1097/00006534-198907000-00014
Larry L. Cunningham, Matthew J. Madsen, Gilman Peterson, Stereolithographic Modeling Technology Applied to Tumor Resection Journal of Oral and Maxillofacial Surgery. ,vol. 63, pp. 873- 878 ,(2005) , 10.1016/J.JOMS.2005.02.027
David L. Hirsch, Evan S. Garfein, Andrew M. Christensen, Katherine A. Weimer, Pierre B. Saddeh, Jamie P. Levine, Use of computer-aided design and computer-aided manufacturing to produce orthognathically ideal surgical outcomes: a paradigm shift in head and neck reconstruction. Journal of Oral and Maxillofacial Surgery. ,vol. 67, pp. 2115- 2122 ,(2009) , 10.1016/J.JOMS.2009.02.007
Bernd Lethaus, Lucas Poort, Roland Böckmann, Ralf Smeets, Rene Tolba, Peter Kessler, Additive manufacturing for microvascular reconstruction of the mandible in 20 patients. Journal of Cranio-maxillofacial Surgery. ,vol. 40, pp. 43- 46 ,(2012) , 10.1016/J.JCMS.2011.01.007
Douglas M Erickson, David Chance, Stephen Schmitt, James Mathts, An opinion survey of reported benefits from the use of stereolithographic models Journal of Oral and Maxillofacial Surgery. ,vol. 57, pp. 1040- 1043 ,(1999) , 10.1016/S0278-2391(99)90322-1