|
|||||
|
|
“One-piece” patient-specific reconstruction plate for double-barrel fibula-based mandibular reconstruction |
|
| Institution: | 1. Institute of Maxillofacial Surgery, Teknon Medical Centre Barcelona, Barcelona, Spain;2. Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain;1. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China;2. Department of Oral and Maxillofacial Surgery, Mother and Childhood Hospital, Ministry of Health, Ibb City, Yemen;1. Department of Oral and Maxillofacial Surgery, University Medical Center Groningen and University of Groningen, Groningen, The Netherlands;2. Department of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands;1. Resident Registrar, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa;2. Consultant, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa;3. Consultant, Department of Maxillofacial and Oral Surgery, Kimberley Hospital Complex, Kimberley, South Africa;4. Chief Engineer and Director, Centre for Rapid Prototyping and Manufacturing, Central University of Technology, Bloemfontein, South Africa |
| Abstract: | Segmental mandibular defects require reconstruction. The fibula flap serves as a versatile flap in restoring mandibular contour and bony height. With the advances in computer-aided design and additive manufacturing technology, an innovative “one-piece” patient-specific reconstruction plate to facilitate double-barrel fibula flap shaping and bone securing was developed; the plate is described in this study. The “one-piece” plate is fabricated with individualized specifications and is mainly composed of three components: the long-bar reconstruction plate, a short-bar plate, and connecting bars. Our initial experiences showed that mandibular reconstructive surgery was greatly facilitated by the “one-piece” reconstruction plate for double-barrel fibula flap reconstruction and achieved satisfactory outcomes. A well-designed clinical trial is required to confirm the superiority of the “one-piece” reconstruction plate in the future. ClinicalTrials.gov registration: NCT03057223. |
| Keywords: | mandibular reconstruction head and neck reconstruction patient-specific surgical plate reconstruction plate bone plates titanium three-dimensional printing fibula vascularized flap double-barrel computer-assisted surgery computer-aided surgery virtual surgery |
| 本文献已被 ScienceDirect 等数据库收录！ | |