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Semin Plast Surg
DOI: 10.1055/s-0044-1786805
Review Article

Computer-Assisted Surgery in Mandible Reconstruction

Farooq Shahzad
1   Plastic and Reconstructive Surgery Service, Memorial Sloan-Kettering Cancer Center, New York, New York
› Author Affiliations Funding This research was funded in part by the National Institutes of Health/National Cancer Institute Cancer Center Support Grant P30 CA008748, which supports the Memorial Sloan-Kettering Cancer Center research infrastructure.
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Abstract

Computer-assisted surgery is the most significant recent advancement in osseous head and neck reconstruction. Computer-aided design (CAD) software allows computerized planning of resection and reconstruction. Computer-aided manufacturing (CAM) can be used to create models, cutting guides, and patient-specific plates. Several studies have shown that these techniques are more accurate and result in decreased flap ischemia times compared with conventional techniques. CAD also facilitates the immediate placement of dental implants. The most useful application of computer-assisted surgery is delayed reconstruction, in which soft tissue contraction and the absence of a specimen as a reference make accurate estimation of the defect challenging. The drawbacks of CAD/CAM are lack of intraoperative flexibility and cost. Some centers have created in-house CAD/CAM processes using open-source software and commercially available three-dimensional printers.

Keywords

dental implants - computer-aided manufacturing - computer-aided design

Disclosures

The author does not have a financial interest in any of the products, devices, or drugs mentioned in this manuscript.




Publication History

Article published online:
27 May 2024

© 2024. Thieme. All rights reserved.

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