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DOI: 10.5999/aps.2014.41.5.584
Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide
In the present study, a fibular osteotomy guide based on a computer simulation was applied to a patient who had undergone mandibular segmental ostectomy due to oncological complications. This patient was a 68-year-old woman who presented to our department with a biopsy-proven squamous cell carcinoma on her left gingival area. This lesion had destroyed the cortical bony structure, and the patient showed attenuation of her soft tissue along the inferior alveolar nerve, indicating perineural spread of the tumor. Prior to surgery, a three-dimensional computed tomography scan of the facial and fibular bones was performed. We then created a virtual computer simulation of the mandibular segmental defect through which we segmented the fibular to reconstruct the proper angulation in the original mandible. Approximately 2-cm segments were created on the basis of this simulation and applied to the virtually simulated mandibular segmental defect. Thus, we obtained a virtual model of the ideal mandibular reconstruction for this patient with a fibular free flap. We could then use this computer simulation for the subsequent surgery and minimize the bony gaps between the multiple fibular bony segments.
Keywords
Surgery, plastic - Head and neck neoplasms - Mandibular reconstruction - Free tissue flaps - Computer simulationPublikationsverlauf
Eingereicht: 04. Dezember 2013
Angenommen: 02. März 2014
Artikel online veröffentlicht:
02. Juni 2022
© 2014. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)
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References
- 1 Cutting C, Bookstein FL, Grayson B. et al. Three-dimensional computer-assisted design of craniofacial surgical procedures: optimization and interaction with cephalometric and CT-based models. Plast Reconstr Surg 1986; 77: 877-887
- 2 Girod S, Keeve E, Girod B. Advances in interactive craniofacial surgery planning by 3D simulation and visualization. Int J Oral Maxillofac Surg 1995; 24: 120-125
- 3 Mommaerts MY, Jans G, Vander Sloten J. et al. On the assets of CAD planning for craniosynostosis surgery. J Craniofac Surg 2001; 12: 547-554
- 4 Zhang L, Sun H, Yu HB. et al. Computer-assisted orthognathic surgery combined with fibular osteomyocutaneous flap reconstruction to correct facial asymmetry and maxillary defects secondary to maxillectomy in childhood. J Craniofac Surg 2013; 24: 886-889
- 5 Roser SM, Ramachandra S, Blair H. et al. The accuracy of virtual surgical planning in free fibula mandibular reconstruction: comparison of planned and final results. J Oral Maxillofac Surg 2010; 68: 2824-2832
- 6 Wang KH, Inman JC, Hayden RE. Modern concepts in mandibular reconstruction in oral and oropharyngeal cancer. Curr Opin Otolaryngol Head Neck Surg 2011; 19: 119-124
- 7 Antony AK, Chen WF, Kolokythas A. et al. Use of virtual surgery and stereolithography-guided osteotomy for mandibular reconstruction with the free fibula. Plast Reconstr Surg 2011; 128: 1080-1084
- 8 Hidalgo DA. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 1989; 84: 71-79
- 9 Lo LJ, Marsh JL, Vannier MW. et al. Craniofacial computer-assisted surgical planning and simulation. Clin Plast Surg 1994; 21: 501-516