Accuracy of Fibula Reconstruction Using Patient-Specific Cad/Cam Plates: A Multicenter Study on 47 Patients.
Adult
Anatomic Landmarks
/ diagnostic imaging
Computer-Aided Design
Female
Fibula
/ diagnostic imaging
Free Tissue Flaps
Humans
Imaging, Three-Dimensional
Male
Mandibular Reconstruction
/ methods
Middle Aged
Patient Care Planning
Patient-Specific Modeling
Prospective Studies
Surgery, Computer-Assisted
/ methods
CAD/CAM
accuracy of reconstruction
fibula flap
mandibular reconstruction
reconstruction surgery
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
21
12
2020
received:
03
08
2020
accepted:
23
12
2020
pubmed:
17
1
2021
medline:
29
6
2021
entrez:
16
1
2021
Statut:
ppublish
Résumé
This prospective study evaluated the accuracy of mandibular reconstruction using free fibular flaps (by comparing virtual plans to the three-dimensional postoperative results), and the extent of bone-to-bone contact after computer-assisted surgery. We included 65 patients who underwent partial-continuity mandibular resections from February 2013 to January 2017, and evaluated virtual planning, surgical techniques, and accuracy. Forty-seven patients were analysed. A total of 112 fibular segments received 54 implants. We measured 227 distances between landmarks to assess the accuracy of reconstruction. Postoperative reconstruction accuracy ranged from 0.5 to 3 mm. Virtual surgical planning very accurately translated simulation into reality, particularly in patients requiring large, complex mandibular reconstructions using multiple fibular segments. 4 Laryngoscope, 131:E2169-E2175, 2021.
Types de publication
Evaluation Study
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
E2169-E2175Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
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