scholarly journals Virtual Surgical Planning Computer-aided Design-guided Osteocutaneous Fibular Free Flap for Craniofacial Reconstruction: A Novel Surgical Approach

Cureus ◽  
2019 ◽  
Author(s):  
Matt Davey ◽  
Niall M McInerney ◽  
Tom Barry ◽  
Alan Hussey ◽  
Shirley Potter
Keyword(s):  
Free Flap ◽  
Surgical Approach ◽  
Computer Aided Design ◽  
Surgical Planning ◽  
Craniofacial Reconstruction ◽  
Virtual Surgical Planning ◽  
Computer Aided ◽  
Fibular Free Flap ◽  
Aided Design

scholarly journals Prevention of Mandible Fractures in Medication-Related Osteonecrosis of the Jaws: The Role of Virtual Surgical Planning and Computer-Aided Design and Manufacturing in Two Clinical Case Reports

2021 ◽  
Vol 11 (17) ◽  
pp. 7894
Author(s):  
João André Correia ◽  
José Ricardo Ferreira ◽  
Miguel Amaral Nunes ◽  
António Capelo ◽  
Miguel de Araújo Nobre ◽  
...  
Keyword(s):  
Computer Aided Design ◽  
Surgical Planning ◽  
Necrotic Bone ◽  
Osteonecrosis Of The Jaws ◽  
Virtual Surgical Planning ◽  
Mandible Fracture ◽  
Computer Aided ◽  
Cad Cam ◽  
Mandible Fractures ◽  
Aided Design

Background: Marginal mandible resection is required to achieve healing in some cases of medication-related osteonecrosis of the jaws (MRONJ). Despite the sparsity of the literature, computer-aided design/computer-aided manufacturing (CAD/CAM) materials may provide superior outcomes for patients with an increased risk of mandible fracture. The aim of this study was to report a digital workflow for surgical interventions to prevent mandible fracture in MRONJ patients. Methods: We present two cases in which virtual surgical planning (VSP) and CAD/CAM surgical guides and reconstruction plates were used to prevent mandible fractures in elderly MRONJ patients submitted for marginal resection. Two osteoporotic patients, aged 73 and 84 years, presented with stage 3 MRONJ of the right mandibular body with inferior alveolar nerve involvement. The unaffected bone height was 6 mm in both cases, implying a high risk of mandible fracture. After preoperative VSP, surgery was performed through a combined intraoral–transbuccal approach. CAD/CAM-customized cutting guides and reconstruction plates were used for the marginal resection of necrotic bone and internal fixation. Results: Complete healing was achieved and the patients remained asymptomatic up to 1 year post-surgery. Conclusions: VSP and CAD/CAM-customized materials facilitated the complete resection of necrotic bone and rigid fixation in MRONJ patients, allowing a simplified approach with shorter operative times, reduced morbidity, and predictable results.

scholarly journals Mandibular Reconstruction Using a Custom-Made Titanium Prosthesis: A Case Report on the Use of Virtual Surgical Planning and Computer-Aided Design/Computer-Aided Manufacturing

2016 ◽  
Vol 9 (3) ◽  
pp. 246-250 ◽  
Author(s):  
Andrew Ow ◽  
Winston Tan ◽  
Lukasz Pienkowski
Keyword(s):  
Case Report ◽  
Computer Aided Design ◽  
Surgical Planning ◽  
Computer Aided Manufacturing ◽  
Virtual Surgical Planning ◽  
Custom Made ◽  
Computer Aided ◽  
Mandibular Defect ◽  
Aided Design ◽  
Continuity Defects

The use of virtual surgical planning and computer-aided design/computer-aided manufacturing has been reported to enhance the planning for the reconstruction of mandibular continuity defects. This case report illustrates the use of this technology in the fabrication of a custom-made titanium prosthesis to restore a segmental mandibular defect. The design specifications and sequence of the custom-made titanium prosthesis are discussed. Although successful in this case, there are limitations in its application and case selection is of vital importance.

scholarly journals Virtual Surgical Planning and Piezoelectric Surgery in Tumor Extirpative Surgery Aimed at Inferior Alveolar Nerve Preservation

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Eric L. Chung ◽  
Faizan Alawi ◽  
Anh D. Le ◽  
Rabie M. Shanti
Keyword(s):  
Computer Aided Design ◽  
Surgical Planning ◽  
Inferior Alveolar Nerve ◽  
Benign Tumors ◽  
Ossifying Fibroma ◽  
Nerve Preservation ◽  
Virtual Surgical Planning ◽  
Piezoelectric Surgery ◽  
Computer Aided ◽  
Cad Cam

A myriad of extirpative surgical protocols for the management of benign tumors of the jaws have been presented in the literature. Through significant advancements in computer-aided design and computer-aided manufacturing (CAD/CAM) technology and surgical instrumentation, today surgeons have at their disposal robust technology-driven techniques that are aimed at improving surgical outcomes. Our goal is to investigate the benefits of implementing virtual surgical planning (VSP) in conjunction with piezoelectric surgery (PES) to ensure success while minimizing the risk of complications during extirpation of tumors of the mandible. This case report describes the successful extirpation of an ossifying fibroma of the mandible in an adult patient using both VSP and PES.

Rapid prototyping-assisted fabrication of the customized metatarsophalangeal joint implant (SamKu)

2014 ◽  
Vol 20 (4) ◽  
pp. 270-279 ◽  
Author(s):  
Sameer C. Raghatate ◽  
Abhaykumar M. Kuthe ◽  
Tushar R. Deshmukh ◽  
Sandeep W. Dahake
Keyword(s):  
Rapid Prototyping ◽  
Computer Aided Design ◽  
Surgical Planning ◽  
Metatarsophalangeal Joint ◽  
Content Type ◽  
Advanced Technologies ◽  
Joint Implant ◽  
Computer Aided ◽  
Aided Design ◽  
Practical Implications

Purpose – The main purpose of this paper is to report the successful treatment modality for patients suffering from arthritis of the metatarsophalangeal joint (MTPJ) of the foot which otherwise could not be treated through traditional surgeries. Design/methodology/approach – The unique capabilities of the computer-aided design and the rapid prototyping (RP) technology are used to develop the customized MTPJ implant (SamKu). Findings – This approach shows good results in the fabrication of the MTPJ implant. Postoperatively, the patient experienced normalcy in the movement of the MTPJ of the foot. Practical implications – Advanced technologies made it possible to fabricate the customized MTPJ implant (SamKu). The advantage of this approach is that the physical RP model assisted in designing the final metallic implant. It also helped in the surgical planning and the rehearsals. Originality/value – This case report illustrates the benefits of imaging/computer-aided manufacturing/RP to develop the customized implant and serve those patients who could not be treated in the traditional way. This is a pioneered attempt toward implementation of a customized implant for patients suffering from arthritis of the MTPJ.

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