scholarly journals Evaluation of Effective Condyle Positioning Assisted by 3D Surgical Guide in Mandibular Reconstruction Using Osteocutaneous Free Flap

Materials ◽  
2020 ◽  
Vol 13 (10) ◽  
pp. 2333
Author(s):  
Seong Ryoung Kim ◽  
Sam Jang ◽  
Kang-Min Ahn ◽  
Jee-Ho Lee
Keyword(s):  
Computed Tomography ◽  
Free Flap ◽  
Mandibular Reconstruction ◽  
Surgical Guide ◽  
Significant Movement ◽  
Flap Fixation ◽  
Simulation Surgery ◽  
3D Printed ◽  
Fibular Free Flap ◽  
Postoperative Observation

In the present study, the reproducibility and postoperative stability of a 3D printed surgical guide were evaluated in mandibular reconstruction with an osteocutaneous free flap (OCFF), including a fibular free flap (FFF) and deep circumflex iliac artery free flap (DCIA). Fifteen patients were enrolled, and a 3D surgical guide was fabricated by simulation surgery using preoperative (T0) Computed tomography (CT) images. Mandibular reconstruction was performed with OCFF using the 3D surgical guide. Postoperative CTs were taken immediately, 1 week (T1), and 6 months (T2) after surgery, to evaluate the reproducibility of the 3D surgical guide and condyle stability. Error of the 3D surgical guide ranged from 0.85 to 2.56 mm. There were no differences in reproducibility according to flap type. Condylar error and error at mandible midpoint were significantly different in FFF. However, there was no difference in DCIA error between the condyle and mandible midpoint. Regarding condyle stability 6 months after surgery, condyles moved more than 2 mm (up to 2.85 mm) in FFF, whereas there were no significant movement in DCIA. Careful intraoperative flap fixation and closed postoperative observation should be considered for stable clinical outcome, especially in the case of FFF.

scholarly journals Virtual planning and guided surgery in fibular free-flap mandibular reconstruction: A 29-case series

2016 ◽  
Vol 133 (3) ◽  
pp. 175-178 ◽  
Author(s):  
D. Culié ◽  
O. Dassonville ◽  
G. Poissonnet ◽  
J.-C. Riss ◽  
J. Fernandez ◽  
...  
Keyword(s):  
Free Flap ◽  
Case Series ◽  
Mandibular Reconstruction ◽  
Virtual Planning ◽  
Guided Surgery ◽  
Fibular Free Flap

Short-term outcomes of mandibular reconstruction in oncological patients using a CAD/CAM prosthesis including a condyle supporting a fibular free flap

2017 ◽  
Vol 45 (2) ◽  
pp. 330-337 ◽  
Author(s):  
Achille Tarsitano ◽  
Salvatore Battaglia ◽  
Valerio Ramieri ◽  
Piero Cascone ◽  
Leonardo Ciocca ◽  
...  
Keyword(s):  
Free Flap ◽  
Mandibular Reconstruction ◽  
Short Term ◽  
Oncological Patients ◽  
Cad Cam ◽  
Fibular Free Flap

scholarly journals A standardized formula for aesthetic mandibular reconstruction using an osteocutaneous fibular free flap

2016 ◽  
Vol 50 (3) ◽  
pp. 197-199
Author(s):  
Soung Min Kim ◽  
Emmanuel K Amponsah ◽  
Hui Young Kim ◽  
Ik Jae Kwon ◽  
Hoon Myoung ◽  
...  
Keyword(s):  
Free Flap ◽  
Mandibular Reconstruction ◽  
Wide Resection ◽  
Clinical Report ◽  
Pathologic Fractures ◽  
Safety Margins ◽  
Wax Pattern ◽  
Fibular Free Flap ◽  
And Function ◽  
Standardized Formula

Ameloblastoma is the most common benign odontogenic tumor of the jaw, and expansional growth of a huge untreated ameloblastoma can result in disturbances in facial aesthetics and function, such as difficulty with mouth opening, swallowing, chewing, breathing, neurologic deficits, and pathologic fractures. Radical wide resection with safety margins and subsequent reconstruction is generally recommended. A fibular free flap (FFF) is commonlyused to reconstruct the mandible in order to adequately restore both aesthetic appearance and function. The aim of this brief clinical report is to present a case of huge ameloblastoma after wide resection with free safety margins, and describe the immediate one-step mandibular reconstruction using a vascularized composite FFF. The sterolithographic(rapid prototype, RP) model, a wax pattern of the resected mandible, and a surgical fibular stent made from the wax pattern were constructed preoperatively. We suggest a standardized surgical protocol for mandibular reconstruction with FFF.Funding: Supported by the International Research & Development Program of the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (NRF-2015K1A3A9A01028230)Keywords: Mandibular reconstruction, fibular osteocutaneous free flap, huge ameloblastoma, stereolithographicmodel, standardized formula

scholarly journals 3D-Printed Surgical Guide for Crown Lengthening Based on Cone Beam Computed Tomography Measurements: A Clinical Report with 6 Months Follow Up

2020 ◽  
Vol 10 (16) ◽  
pp. 5697
Author(s):  
Abdulkareem Alhumaidan ◽  
Ayed Alqahtani ◽  
Faisal al-Qarni
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Clinical Report ◽  
Surgical Guide ◽  
Satisfactory Outcome ◽  
Common Clinical Presentation ◽  
3D Printed ◽  
Crown Lengthening

Excessive gingival display is a common clinical presentation that often requires surgical intervention. This report is for a patient for whom esthetic crown lengthening is indicated due to altered passive eruption. Cone beam computed tomography (CBCT) scan and an intraoral scan were used to design and print a single surgical guide which provided a reference for both gingivectomy and osteoectomy. A satisfactory outcome was obtained 6 months after surgery. The present technique provided a simplified method of generating a surgical guide with predictable results by relying on the existing tooth anatomy rather than diagnostic waxing. This technique is particularly useful when crowns or veneers are not indicated.

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