The significance of computer-assisted surgery in avoiding double-barrel fibula grafts in reconstruction of the horizontal mandibular ramus.
Computer-Aided Design
Free tissue flap
Jaws
Titanium plate
Journal
Journal of stomatology, oral and maxillofacial surgery
ISSN: 2468-7855
Titre abrégé: J Stomatol Oral Maxillofac Surg
Pays: France
ID NLM: 101701089
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
07
06
2018
revised:
06
08
2018
accepted:
26
09
2018
pubmed:
6
2
2019
medline:
18
12
2019
entrez:
6
2
2019
Statut:
ppublish
Résumé
It is recognized that the mandibular reconstruction with free flap allows for both functional and aesthetic restoration. The flap must be used for reconstruction of a smooth lower mandibular contour and also the alveolar bone to allow dental rehabilitation. The double-barrel fibula free flap does respond well to these imperatives, but it increases risk of vascular complications. To overcome these risks, we propose a single-barrel fibula free flap, positioned at the alveolar level and a customized 3D implant, designed by computer-assisted surgery, at the basilar level. The interest of the single-barrel fibula associated with a customized 3D implant compared to the double-barrel fibula free flap is twofold: it decreases the vascular risks associated with the plication of the second pedicle and allows patients to have a pedicle of greater length. It also allows them to have a good cortical bone placed in the alveolar bone to rehabilitate the mastication function.
Identifiants
pubmed: 30718213
pii: S2468-7855(18)30207-6
doi: 10.1016/j.jormas.2018.09.004
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
167-171Informations de copyright
Copyright © 2018 Elsevier Masson SAS. All rights reserved.