Application of virtual surgical planning in maxillary and mandible reconstruction with fibula flap
10.3760/cma.j.issn.1009-4598.2019.07.008
- VernacularTitle: 虚拟手术系统辅助下游离腓骨肌皮瓣对上下颌骨缺损的修复重建
- Author:
Liang ZUO
1
;
Jianjun YU
;
Xiao ZHOU
;
Jie DAI
;
Hao TIAN
;
Zhenfeng SHAN
;
Jie HU
;
Xing CHEN
;
Honghan WANG
;
Xu CAI
;
Shuichao GAO
Author Information
1. The 2nd Department of Head and Neck Surgery, Department of Oncoplastic Surgery, Hunan Cancer Hospital & the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha 410013, China
- Publication Type:Clinical Trail
- Keywords:
Virtual surgery planning;
Maxillary reconstruction;
Mandibular reconstruction;
Vascularized fibula osteomycutaneous flap
- From:
Chinese Journal of Plastic Surgery
2019;35(7):656-660
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review the clinical data of patients who underwent maxillary and mandibular reconstruction with vascularized fibula osteomycutaneous flap, using virtual surgery planning.
Methods:From January 2012 to December 2016, 23 patients with mandibular defect and 2 patients with maxillary defect were treated in our department. In virtual surgery planning, the optimal osteotomy line and angle were designed. Segmental maxillectomy and mandibulectomy, as well as mandibular reconstruction were performed using guided templates to practice the virtual planning.Actual reconstruction results were compared with those of virtual surgery.
Results:Among the 25 patients, 2 patients were repaired with the ipsilateral fibula myocutaneous flap, 22 patients were lateral fibula myocutaneous flap. One case of maxillary type Ⅱd defect was repaired with left fibular muscle flap. All patients were followed up for 12 to 48 months. Satisfied bony unions and occlusion were observed in 25 patients.All patients reported excellent or good facial appearance. One of them received dental implants at 1 year postoperatively.
Conclusions:An ideal contour of maxilla and mandible can be obtained using vascularized fibula osteomycutaneous flap in virtual surgery.
