scholarly journals The Judgement for Development of Virtual Surgical Planning and Three-Dimensional Bio-Printing for Superior Reconstruction of Mandibular Defect by Fibular Graft on Head-Neck Cancer

2021 ◽  
Vol 64 (3) ◽  
pp. 135-147
Author(s):  
Nadia Sultana Shuborna ◽  
Bishwa Prakash Bhattarai ◽  
Teeranut Chaiyasamut ◽  
Sirichai Kiattavornchareon ◽  
Natthamet Wongsirichat
Keyword(s):  
Neck Cancer ◽  
Computer Aided Design ◽  
Surgical Planning ◽  
Head And Neck Reconstruction ◽  
Fibular Graft ◽  
Head Neck Cancer ◽  
Virtual Surgical Planning ◽  
Increased Risk ◽  
Computer Aided ◽  
Head Neck

Oncological resection followed by reconstruction with a free fibular graft is still considered to be the gold standard treatment for functional and prosthetic rehabilitation of oral cancer patients. But this tedious traditional process is challenging for surgeons, as they have to deal with associated curve anatomy, surrounding innervations, and maintenance of functional and aesthetical acceptability. Such manual and operator’s skill dependent surgery can commonly demand a longer treatment duration; leading to an increased risk for prolonging the period of ischemia with increased morbidity, which frequently ends with an uncertain, unsatisfactory outcome. Technological advancements in the 20th and 21st centuries present a revolutionary improvement in the field of reconstructive surgery. Virtual surgical planning (VSP) and threedimensional (3D) bio-printing incorporating computer-aided design and computer-aided modeling is a promising tech in modern head and neck reconstruction. This recent innovation is more polished regarding initiation of patient-customized models, pre-bent plates, and osteotomy guides which further increase surgical precision, improve operative efficiency, ensure proper wound healing, shorten operative time, reduce operative cost, and decrease morbidities. This review focuses on the virtual surgical planning and 3D bio-printing technologies to evaluate their efficiency of qualitative and quantitative outcomes of resection and reconstruction of mandible in head-neck cancer using fibular graft.

scholarly journals Virtual Surgical Planning and Piezoelectric Surgery in Tumor Extirpative Surgery Aimed at Inferior Alveolar Nerve Preservation

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Eric L. Chung ◽  
Faizan Alawi ◽  
Anh D. Le ◽  
Rabie M. Shanti
Keyword(s):  
Computer Aided Design ◽  
Surgical Planning ◽  
Inferior Alveolar Nerve ◽  
Benign Tumors ◽  
Ossifying Fibroma ◽  
Nerve Preservation ◽  
Virtual Surgical Planning ◽  
Piezoelectric Surgery ◽  
Computer Aided ◽  
Cad Cam

A myriad of extirpative surgical protocols for the management of benign tumors of the jaws have been presented in the literature. Through significant advancements in computer-aided design and computer-aided manufacturing (CAD/CAM) technology and surgical instrumentation, today surgeons have at their disposal robust technology-driven techniques that are aimed at improving surgical outcomes. Our goal is to investigate the benefits of implementing virtual surgical planning (VSP) in conjunction with piezoelectric surgery (PES) to ensure success while minimizing the risk of complications during extirpation of tumors of the mandible. This case report describes the successful extirpation of an ossifying fibroma of the mandible in an adult patient using both VSP and PES.

scholarly journals Prevention of Mandible Fractures in Medication-Related Osteonecrosis of the Jaws: The Role of Virtual Surgical Planning and Computer-Aided Design and Manufacturing in Two Clinical Case Reports

2021 ◽  
Vol 11 (17) ◽  
pp. 7894
Author(s):  
João André Correia ◽  
José Ricardo Ferreira ◽  
Miguel Amaral Nunes ◽  
António Capelo ◽  
Miguel de Araújo Nobre ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Surgical Planning ◽  
Necrotic Bone ◽  
Osteonecrosis Of The Jaws ◽  
Virtual Surgical Planning ◽  
Mandible Fracture ◽  
Computer Aided ◽  
Cad Cam ◽  
Mandible Fractures ◽  
Aided Design

Background: Marginal mandible resection is required to achieve healing in some cases of medication-related osteonecrosis of the jaws (MRONJ). Despite the sparsity of the literature, computer-aided design/computer-aided manufacturing (CAD/CAM) materials may provide superior outcomes for patients with an increased risk of mandible fracture. The aim of this study was to report a digital workflow for surgical interventions to prevent mandible fracture in MRONJ patients. Methods: We present two cases in which virtual surgical planning (VSP) and CAD/CAM surgical guides and reconstruction plates were used to prevent mandible fractures in elderly MRONJ patients submitted for marginal resection. Two osteoporotic patients, aged 73 and 84 years, presented with stage 3 MRONJ of the right mandibular body with inferior alveolar nerve involvement. The unaffected bone height was 6 mm in both cases, implying a high risk of mandible fracture. After preoperative VSP, surgery was performed through a combined intraoral–transbuccal approach. CAD/CAM-customized cutting guides and reconstruction plates were used for the marginal resection of necrotic bone and internal fixation. Results: Complete healing was achieved and the patients remained asymptomatic up to 1 year post-surgery. Conclusions: VSP and CAD/CAM-customized materials facilitated the complete resection of necrotic bone and rigid fixation in MRONJ patients, allowing a simplified approach with shorter operative times, reduced morbidity, and predictable results.

Three-dimensional virtual surgical planning (3D-VSP) in orthognathic surgery: Advantages, disadvantages and pitfalls

2020 ◽  
pp. 146531252095487
Author(s):  
Chris D Donaldson ◽  
Mehmet Manisali ◽  
Farhad B Naini
Keyword(s):  
Computer Aided Design ◽  
Orthognathic Surgery ◽  
Surgical Planning ◽  
Three Dimensional ◽  
Open Bite ◽  
Anterior Open Bite ◽  
Skeletal Class ◽  
Virtual Surgical Planning ◽  
Skeletal Class Ii ◽  
Computer Aided

In this article, the advantages, disadvantages and pitfalls of three-dimensional virtual surgical planning (3D-VSP) compared to traditional two-dimensional (2D) planning methods in orthognathic surgery are discussed, alongside a standardised protocol that can be utilised. A skeletal Class II, skeletal Class III and an anterior open bite clinical case along with their 3D-VSP management are presented, highlighting modifications that can be made to computer-aided design/computer-aided manufacture (CAD/CAM) cutting guide and plate designs.

scholarly journals Mandibular Reconstruction Using a Custom-Made Titanium Prosthesis: A Case Report on the Use of Virtual Surgical Planning and Computer-Aided Design/Computer-Aided Manufacturing

2016 ◽  
Vol 9 (3) ◽  
pp. 246-250 ◽  
Author(s):  
Andrew Ow ◽  
Winston Tan ◽  
Lukasz Pienkowski
Keyword(s):  
Case Report ◽  
Computer Aided Design ◽  
Surgical Planning ◽  
Computer Aided Manufacturing ◽  
Virtual Surgical Planning ◽  
Custom Made ◽  
Computer Aided ◽  
Mandibular Defect ◽  
Aided Design ◽  
Continuity Defects

The use of virtual surgical planning and computer-aided design/computer-aided manufacturing has been reported to enhance the planning for the reconstruction of mandibular continuity defects. This case report illustrates the use of this technology in the fabrication of a custom-made titanium prosthesis to restore a segmental mandibular defect. The design specifications and sequence of the custom-made titanium prosthesis are discussed. Although successful in this case, there are limitations in its application and case selection is of vital importance.

scholarly journals Virtual Surgical Planning and the “In-House” Rapid Prototyping Technique in Maxillofacial Surgery: The Current Situation and Future Perspectives

2021 ◽  
Vol 11 (3) ◽  
pp. 1009
Author(s):  
Fabio Maglitto ◽  
Giovanni Dell’Aversana Orabona ◽  
Umberto Committeri ◽  
Giovanni Salzano ◽  
Gianluca Renato De Fazio ◽  
...  
Keyword(s):  
Rapid Prototyping ◽  
Computer Aided Design ◽  
Surgical Planning ◽  
Maxillofacial Surgery ◽  
Zygomatic Arch ◽  
Orbital Floor ◽  
Virtual Design ◽  
Reconstructive Procedures ◽  
Virtual Surgical Planning ◽  
Computer Aided

Background: The first applications of computer-aided design/computer-aided manufacturing (CAD/CAM) in maxillofacial surgery date back to the 1980s. Since then, virtual surgical planning (VSP) has undergone significant development and is now routinely used in daily practice. Indeed, in an extraordinary period, such as that of the current COVID-19 pandemic, it offers a valuable tool in relation to the protection of healthcare workers. In this paper we provide a comprehensive summary of the clinical applications reported in the literature and review our experience using an in-house rapid prototyping technique in the field of maxillofacial surgery. methods: Our research was focused on reconstructive surgery, traumatology (especially in relation to orbital floor and zygomatic arch fractures), and COVID-19 masks. The first step was a radiographic study. Next, computed tomography (CT) scans were segmented in order to obtain a three-dimensional (3D) model. Finally, in the editing phase, through the use of specific software, a customized device for each patient was designed and printed. results: Four reconstructive procedures were performed with a perfect fitting of the surgical device produced by means of VSP. In nine orbital floor fracture cases a good overlapping of the mesh on the orbital floor was obtained. In sixteen zygomatic arch cases the post-operative CT scan showed an excellent fitting of the device and a correct fracture reduction. Regarding the COVID-19 period, six masks and shields produced proved to provide effective protection. conclusions: The timescale and costs required for the production of our “home-made” virtual design are low, which makes this method applicable to a large number of cases, for both ordinary and extraordinary activities.

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