Accuracy of Fibula Reconstruction Using Patient-Specific Cad/Cam Plates: A Multicenter Study on 47 Patients.
Laryngoscope
; 131(7): E2169-E2175, 2021 07.
Article
en En
| MEDLINE
| ID: mdl-33452834
ABSTRACT
OBJECTIVES:
This prospective study evaluated the accuracy of mandibular reconstruction using free fibular flaps (by comparing virtual plans to the three-dimensional postoperative results), and the extent of bone-to-bone contact after computer-assisted surgery.METHODS:
We included 65 patients who underwent partial-continuity mandibular resections from February 2013 to January 2017, and evaluated virtual planning, surgical techniques, and accuracy.RESULTS:
Forty-seven patients were analysed. A total of 112 fibular segments received 54 implants. We measured 227 distances between landmarks to assess the accuracy of reconstruction. Postoperative reconstruction accuracy ranged from 0.5 to 3 mm.CONCLUSION:
Virtual surgical planning very accurately translated simulation into reality, particularly in patients requiring large, complex mandibular reconstructions using multiple fibular segments. LEVEL OF EVIDENCE 4 Laryngoscope, 131E2169-E2175, 2021.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Diseño Asistido por Computadora
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Cirugía Asistida por Computador
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Colgajos Tisulares Libres
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Reconstrucción Mandibular
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Modelación Específica para el Paciente
Tipo de estudio:
Clinical_trials
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Evaluation_studies
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Observational_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Laryngoscope
Asunto de la revista:
OTORRINOLARINGOLOGIA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Italia