Development of a novel resection and cutting guide for mandibular reconstruction using free fibula flap

2018 ◽  
Vol 46 (11) ◽  
pp. 1975-1978 ◽  
Author(s):  
Jochen Weitz ◽  
Klaus-Dietrich Wolff ◽  
Marco Rainer Kesting ◽  
Christopher-Philipp Nobis
Keyword(s):  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Cutting Guide ◽  
Free Fibula

Malocclusion Management Following Mandibular Reconstruction With Free Fibula Flaps

2020 ◽  
pp. 194338752098024
Author(s):  
Jorge Ernesto Cantini Ardila ◽  
Carlos Eduardo Torres Fuentes ◽  
Giovanni Montealegre Gomez ◽  
Susana Correa ◽  
Erika Paola Gutierrez ◽  
...  
Keyword(s):  
Orthognathic Surgery ◽  
Case Series ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Occlusal Splints ◽  
Fibula Flap ◽  
Case Series Study ◽  
Free Fibula ◽  
Cutting Guides ◽  
Series Study

Study Design: Free fibula flaps are nowadays the gold standard for the surgical reconstruction on large mandibular defects. Malocclusion is an important complication of this type of reconstruction and many of these patients end up requiring subsequent orthognathic corrective surgery. This is a descriptive retrospective case series study. Objective: To describe the demographic data, operative techniques, corrective methods and postoperative results in the management of malocclusion following mandibular reconstruction with free fibula flap. Methods: This case series study included patients who underwent free fibula flap mandibular reconstructions and who that subsequently developed malocclusion requiring orthognathic corrective surgery, from June 2010 to December 2019. Panoramic X-rays, cephalometries and/or 3-D facial reconstruction CT scans were used for surgical planning to create surgical cutting guides, templates and occlusal splints in all the patients that underwent corrective orthognathic surgery. Results: There were 46 patients who underwent a free fibula flap mandibular and maxillary reconstruction at San Jose Hospital between June 2010 and December 2019 of these, 5 patients (10.9%) developed postoperative malocclusion. One case from another institution was added to this study for a total of 6 patients with malocclusion following mandibular reconstruction surgery with a fibula free flap. During the orthognathic surgery, vertical osteotomies were performed in 3 patients and bilateral sagittal split osteotomies were necessary in 2 patients and L-shape in 1 patient. Osteogenic distraction was performed in 3 patients as part of their orthognathic treatment. The fixation methods were based in miniplates for 3 of the patients and lag screws for the remaining 3 patients. With this approach, all patients had an adequate occlusion correction with a 100% consolidation at their 6-month follow up. Conclusion: Malocclusion is a significant complication following mandibular reconstruction surgery that must be identified and managed. In severe cases, it requires corrective orthognathic surgery in severe cases. We have developed a protocol to avoid pitfalls during the primary reconstruction and in case an orthognathic surgery is required for malocclusion correction, preoperative planning with cutting guides and occlusal splints should be assessed, to guarantee favorable results through a reproducible technique.

CAD-CAM vs conventional technique for mandibular reconstruction with free fibula flap: A comparison of outcomes

2020 ◽  
Vol 34 ◽  
pp. 284-291 ◽  
Author(s):  
Sanjay Mahendru ◽  
Rahul Jain ◽  
Aditya Aggarwal ◽  
Hardeep S. Aulakh ◽  
Ankit Jain ◽  
...  
Keyword(s):  
Conventional Technique ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Cad Cam ◽  
Free Fibula

scholarly journals MANDIBULAR RECONSTRUCTION WITH VASCULARISED FREE FIBULA FLAP.

2017 ◽  
Vol 5 (9) ◽  
pp. 1151-1155
Author(s):  
BashirAhmad Bhat ◽  
◽  
AdilHafeez Wani. ◽  
Keyword(s):  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

Vascular anatomy of the free fibula flap including the lateral head of the soleus muscle applied to maxillo-mandibular reconstruction

2018 ◽  
Vol 41 (4) ◽  
pp. 447-454
Author(s):  
Lara Nokovitch ◽  
Julien Davrou ◽  
François Bidault ◽  
Bernard Devauchelle ◽  
Stéphanie Dakpé ◽  
...  
Keyword(s):  
Soleus Muscle ◽  
Vascular Anatomy ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula ◽  
Lateral Head

Utilization of a pre-bent plate-positioning surgical guide system in precise mandibular reconstruction with a free fibula flap

Oral Oncology ◽  
2017 ◽  
Vol 75 ◽  
pp. 133-139 ◽  
Author(s):  
Tingwei Bao ◽  
Jianfeng He ◽  
Changyang Yu ◽  
Wenquan Zhao ◽  
Yi Lin ◽  
...  
Keyword(s):  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Surgical Guide ◽  
Fibula Flap ◽  
Free Fibula ◽  
Guide System ◽  
Bent Plate

Iliac crest inner table free flap vs free fibula flap for mandibular reconstruction

2013 ◽  
Vol 42 (10) ◽  
pp. 1298
Author(s):  
R. Sieira ◽  
C. Martí ◽  
E. García ◽  
A. Ferrer ◽  
J. Rubio
Keyword(s):  
Free Flap ◽  
Iliac Crest ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula

scholarly journals Mandibular Reconstruction with Free Fibula Flap for Medication-related Osteonecrosis of the Jaw in Patients with Multiple Myeloma

2020 ◽  
Vol 8 (10) ◽  
pp. e3186 ◽  
Author(s):  
Christodoulos Kaoutzanis ◽  
Jason W. Yu ◽  
Z-Hye Lee ◽  
Ashkan Davary ◽  
Kenneth E. Fleisher ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Osteonecrosis Of The Jaw ◽  
Mandibular Reconstruction ◽  
Free Fibula Flap ◽  
Fibula Flap ◽  
Free Fibula
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