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 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

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 Factors influencing CAD/CAM accuracy in fibula free flap mandibular reconstruction

2020 ◽  
Vol 40 (2) ◽  
pp. 138-143
Author(s):  
Ahmed Hassan Sweed ◽  
Alessandro Remigio Bolzoni ◽  
Aleksandra Kadubiec ◽  
Giada Anna Beltramini ◽  
Alessandro Cherchi ◽  
...  
Keyword(s):  
Free Flap ◽  
Mandibular Reconstruction ◽  
Factors Influencing ◽  
Fibula Free Flap ◽  
Cad Cam

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.

Axiographic results of CAD/CAM-assisted microvascular, fibular free flap reconstruction of the mandible: A prospective study of 21 consecutive cases

2017 ◽  
Vol 45 (1) ◽  
pp. 113-119 ◽  
Author(s):  
Lucas M. Ritschl ◽  
Thomas Mücke ◽  
Andreas M. Fichter ◽  
Maximilian Roth ◽  
Clemens Kaltenhauser ◽  
...  
Keyword(s):  
Prospective Study ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Free Flap Reconstruction ◽  
Cad Cam ◽  
Fibular Free Flap ◽  
A Prospective Study
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