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

Beitrag in einer Fachzeitschrift


Details zur Publikation

Autor(en): Weitz J, Wolff KD, Kesting MR, Nobis CP
Zeitschrift: Journal of Cranio-Maxillofacial Surgery
Jahr der Veröffentlichung: 2018
Band: 46
Heftnummer: 11
Seitenbereich: 1975-1978
ISSN: 1010-5182


Abstract

Introduction: The authors developed a semi-standardised resection and cutting guide for mandibular reconstruction with free fibula flap based on data of mandible sizes and angles.
Methods: After analyzing the angles and lengths of mandibular angles and segments on computer tomography, a partly-adjustable resection guide for the mandible and cutting guide for the fibula were designed.
Results: After testing and optimizing the guides on plastic models and cadavers, the guides were successfully used for mandible resection and reconstruction with free fibula flap in 8 patients with segmental mandibulectomy. Application of the cutting and resection guides and functional results like occlusion and aesthetic appearence were satisfactory in all cases.
Conclusions: The developed semi-standardised device is a helpful instrument for facilitating reconstruction of segmental mandibular defects with free fibula flaps. No extensive preoperative preparation and 3D printing is necessary which can avoid additional costs for virtual planning. Especially for lower budget health systems this can be an alternative to virtual planning. (C) 2018 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.


FAU-Autoren / FAU-Herausgeber

Kesting, Marco Rainer Prof. Dr. Dr.
Lehrstuhl für Zahnmedizin, insbesondere Mund-, Kiefer-, und Gesichtschirurgie


Autor(en) der externen Einrichtung(en)
Technische Universität München (TUM)


Zitierweisen

APA:
Weitz, J., Wolff, K.-D., Kesting, M.R., & Nobis, C.-P. (2018). Development of a novel resection and cutting guide for mandibular reconstruction using free fibula flap. Journal of Cranio-Maxillofacial Surgery, 46(11), 1975-1978. https://dx.doi.org/10.1016/j.jcms.2018.09.007

MLA:
Weitz, Jochen, et al. "Development of a novel resection and cutting guide for mandibular reconstruction using free fibula flap." Journal of Cranio-Maxillofacial Surgery 46.11 (2018): 1975-1978.

BibTeX: 

Zuletzt aktualisiert 2019-06-03 um 11:53