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CC BY-NC-ND 4.0 · J Reconstr Microsurg Open 2017; 02(01): e63-e68
DOI: 10.1055/s-0037-1602818
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Medial Femoral Condyle Flap Reconstruction of a Maxillary Defect with a 3D Printing Template

Erin M. Taylor   *
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
,
Winona W. Wu   *
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
,
Parisa Kamali
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
,
Nalton Ferraro
2   Department of Oral and Maxillofacial Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
,
Joseph Upton
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
,
Samuel J. Lin
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
,
Matthew L. Iorio
1   Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
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Weitere Informationen

Publikationsverlauf

05. März 2017

30. März 2017

Publikationsdatum:
08. Mai 2017 (online)

   Lizenzen und Reprints

Abstract

Background The medial femoral condyle (MFC) flap is a well-vascularized corticocancellous flap based off the descending genicular artery that can be used to reconstruct difficult bony nonunions. Although frequently used in reconstruction of extremity defects, the MFC flap is rarely used in maxillofacial reconstruction.

Methods We present a case example of an MFC vascularized corticocancellous free flap for reconstruction of an ameloblastoma maxillary defect. Additionally, we describe our use of a three-dimensional (3D) template to create an intraoperative osteotomy model for contouring the MFC flap.

Results Preoperative 3D printing of the maxillary defect and design of a methylmethacrylate template enabled the precise and rapid contouring of a well-vascularized bone flap. Postoperative 3D CT scan demonstrated satisfactory positioning of the MFC flap within the maxilla.

Conclusion The 3D printing technology continues to advance craniofacial reconstruction and allows for the efficient and precise creation of vascularized bone flaps. The MFC vascularized flap has the potential of becoming a workhorse flap in maxillary defect reconstruction alongside the use of 3D printing technology.

Keywords

3D printing - medial femoral condyle flap - maxillary reconstruction

* Both the authors contributed equally to the article.


 

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