scholarly journals The accuracy of computer-assisted primary mandibular reconstruction with vascularized bone flaps: iliac crest bone flap versus osteomyocutaneous fibula flap

2014 ◽  
pp. 211 ◽  
Author(s):  
Ali Modabber ◽  
Nassim Ayoub ◽  
Evgeny Goloborodko ◽  
Christina Loberg ◽  
Bernd Lethaus ◽  
...  
Keyword(s):  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Bone Flap ◽  
Computer Assisted ◽  
Fibula Flap ◽  
Vascularized Bone

scholarly journals Computer-Assisted Mandibular Reconstruction using a Patient-Specific Reconstruction Plate Fabricated with Computer-Aided Design and Manufacturing Techniques

2014 ◽  
Vol 7 (2) ◽  
pp. 158-166 ◽  
Author(s):  
Frank Wilde ◽  
Carl-Peter Cornelius ◽  
Alexander Schramm
Keyword(s):  
Computer Aided Design ◽  
Mandibular Reconstruction ◽  
Patient Specific ◽  
Computer Assisted ◽  
Reconstruction Plate ◽  
Fibula Flap ◽  
Computer Aided ◽  
Cad Cam ◽  
Aided Design ◽  
Five Axis

We investigated the workflow of computer-assisted mandibular reconstruction that was performed with a patient-specific mandibular reconstruction plate fabricated with computer-aided design and computer-aided manufacturing (CAD/CAM) techniques and a fibula flap. We assessed the feasibility of this technique from virtual planning to the completion of surgery. Computed tomography (CT) scans of a cadaveric skull and fibula were obtained for the virtual simulation of mandibular resection and reconstruction using ProPlan CMF software (Materialise®/DePuy Synthes®). The virtual model of the reconstructed mandible provided the basis for the computer-aided design of a patient-specific reconstruction plate that was milled from titanium using a five-axis milling machine and CAM techniques. CAD/CAM techniques were used for producing resection guides for mandibular resection and cutting guides for harvesting a fibula flap. Mandibular reconstruction was simulated in a cadaveric wet laboratory. No problems were encountered during the procedure. The plate was fixed accurately to the residual bone without difficulty. The fibula segments were attached to the plate rapidly and reliably. The fusion of preoperative and postoperative CT datasets demonstrated high reconstruction precision. Computer-assisted mandibular reconstruction with CAD/CAM-fabricated patient-specific reconstruction plates appears to be a promising approach for mandibular reconstruction. Clinical trials are required to determine whether these promising results can be translated into successful practice and what further developments are needed.

Double-Barrel Fibula Flap Versus Vascularized Iliac Crest Flap for Mandibular Reconstruction

2020 ◽  
Vol 78 (5) ◽  
pp. 844-850 ◽  
Author(s):  
Yao Yu ◽  
Wen-Bo Zhang ◽  
Xiao-Jing Liu ◽  
Chuan-Bin Guo ◽  
Guang-Yan Yu ◽  
...  
Keyword(s):  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Iliac Crest Flap ◽  
Fibula Flap

Iliac crest inner table free flap vs free fibula flap for mandibular reconstruction

2013 ◽  
Vol 42 (10) ◽  
pp. 1298
Author(s):  
R. Sieira ◽  
C. Martí ◽  
E. García ◽  
A. Ferrer ◽  
J. Rubio
Keyword(s):  
Free Flap ◽  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

Computer-assisted Mandibular Reconstruction with Vascularized Iliac Crest Bone Graft

2012 ◽  
Vol 36 (3) ◽  
pp. 653-659 ◽  
Author(s):  
Ali Modabber ◽  
Marcus Gerressen ◽  
Maria Barbara Stiller ◽  
Nelson Noroozi ◽  
Alexander Füglein ◽  
...  
Keyword(s):  
Bone Graft ◽  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Iliac Crest Bone Graft ◽  
Computer Assisted

scholarly journals Retrospective analysis of complications in 190 mandibular resections and simultaneous reconstructions with free fibula flap, iliac crest flap or reconstruction plate: a comparative single centre study

2020 ◽  
Author(s):  
Lucas M. Ritschl ◽  
Thomas Mücke ◽  
Diandra Hart ◽  
Tobias Unterhuber ◽  
Victoria Kehl ◽  
...  
Keyword(s):  
Radiation Dosage ◽  
Iliac Crest ◽  
Treatment Algorithm ◽  
Mandibular Reconstruction ◽  
Total Radiation ◽  
Contributing Factors ◽  
Reconstruction Plate ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

Abstract Objectives The purpose of this study was to evaluate the incidence of complications following mandibular reconstruction and to analyse possible contributing factors. Materials and methods Clinical data and computed tomography scans of all patients who needed a mandibular reconstruction with a reconstruction plate, free fibula flap (FFF) or iliac crest (DCIA) flap between August 2010 and August 2015 were retrospectively analysed. Results One hundred and ninety patients were enrolled, encompassing 77 reconstructions with reconstruction plate, 89 reconstructions with FFF and 24 reconstructions with DCIA flaps. Cutaneous perforation was most frequently detected in the plate subgroup within the early interval and overall (each p = 0.004). Low body mass index (BMI) and total radiation dosage were the most relevant risk factors for the development of analysed complications. Conclusions Microvascular bone flaps have overall less skin perforation than reconstruction plates. BMI and expected total radiation dosage have to be respected in choice of reconstructive technique. Clinical relevance A treatment algorithm for mandibular reconstructions on the basis of our results is presented.

Improving the accuracy of mandibular reconstruction with vascularized iliac crest flap: Role of computer-assisted techniques

2016 ◽  
Vol 44 (11) ◽  
pp. 1819-1827 ◽  
Author(s):  
Wen-Bo Zhang ◽  
Yao Yu ◽  
Yang Wang ◽  
Chi Mao ◽  
Xiao-Jing Liu ◽  
...  
Keyword(s):  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Computer Assisted ◽  
Iliac Crest Flap
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