[3D-assisted mandibular reconstruction: A technical note of fibula free flap with preshaped titanium plate]. / Reconstruction mandibulaire par lambeau fibulaire : note technique de pré-conformation de plaques d'ostéosynthèse assistée en 3D.
Ann Chir Plast Esthet
; 66(2): 174-179, 2021 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-32753249
ABSTRACT
The purpose of this technical note is to illustrate a simple and economical preoperative method for preshaping a reconstructive titanium plate in a fibula free flap (FFF) by using 3D printing of a virtually reconstructed mandible haptic model. The whole process consisted in creating a 3D model of the patient's mandible based on a CT-scan using a combination of free software (3Dslicer and ITK-snap), and simulating the surgical osteotomies and reconstruction, and print it as a guide for bending a reconstruction titanium plate. Reconstruction is performed using virtual cubes (1 to 3 cubes, according the number of FFF osteotomies). This virtual lab work is performed using 3D Builder® (Microsoft, Redmond) software. This technique allows obtaining an optimal plate application on the bony fragments. It facilitates reconstructive surgery with good functional (putting the patient back in an optimal dental occlusion based on the native maxilla) and aesthetic results. This technical note presents a simple and economical preoperative fabrication of a reconstructive plate through freeware and a low-cost 3D printer accessible to all surgeons.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Procedimentos de Cirurgia Plástica
/
Cirurgia Assistida por Computador
/
Retalhos de Tecido Biológico
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Reconstrução Mandibular
Limite:
Humans
Idioma:
Fr
Ano de publicação:
2021
Tipo de documento:
Article