TY - JOUR
T1 - Accuracy of Fibula Reconstruction Using Patient-Specific Cad/Cam Plates
T2 - A Multicenter Study on 47 Patients
AU - Zavattero, Emanuele
AU - Bolzoni, Alessandro
AU - Dell'Aversana, Giovanni
AU - Sant'Agata, Marco
AU - Massarelli, Olindo
AU - Ferri, Andrea
AU - Della Monaca, Marco
AU - Copelli, Chiara
AU - Gessaroli, Manlio
AU - Valsecchi, Stefano
AU - Borbon, Claudia
AU - Beltramini, Giada Anna
AU - Ramieri, Guglielmo
AU - Valentini, Valentino
AU - Tartaro, Gian Paolo
AU - Cocchi, Roberto
AU - Varazzani, Andrea
AU - Califano, Luigi
AU - Baj, Alessandro
N1 - Publisher Copyright:
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
PY - 2021
Y1 - 2021
N2 - 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, 2021.
AB - 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, 2021.
KW - accuracy of reconstruction
KW - CAD/CAM
KW - fibula flap
KW - mandibular reconstruction
KW - reconstruction surgery
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U2 - 10.1002/lary.29379
DO - 10.1002/lary.29379
M3 - Article
AN - SCOPUS:85099412962
JO - Laryngoscope
JF - Laryngoscope
SN - 0023-852X
ER -