In-house virtual surgical planning for mandibular reconstruction with fibula free flap: Case series and literature review

Q3 Medicine Annals of 3D printed medicine Pub Date : 2023-05-01 DOI:10.1016/j.stlm.2023.100109

Steve Maisi , Mauro Dominguez , Peta Charmaine Gilong , Chung Tze Kiong , Syarfa Hajam , Ahmad Fadhli Ahmad Badruddin , Han Fong Siew , Saravanan Gopalan , Kok Tuck Choon

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Abstract

The fibula free flap (FFF) surgery has long been used for complicated mandibular reconstruction. Virtual surgical planning (VSP) has been incorporated into the reconstruction planning by surgeons and has been found to reduce operating time and surgeon stress intraoperatively. When compared to traditional reconstruction, VSP enhances accuracy, surgical efficiency, and clinical outcomes. However, VSP on the other hand, need advanced technology such as software and 3D printing equipment, which are not always accessible in all centres. We describe our workflow on VSP reconstruction of the mandible with FFF by using open-source software.

Methods

Three patients underwent mandible reconstruction with FFF. VSP was used for all reconstruction planning.

Results

The mean operative time was min 765 minutes (range: 615 – 960 minutes), the mean ischemic time was 260 minutes (range: 120 – 355 minutes) and the mean length of stay was 10.7 days (range: 10 – 12 days). There were no flap failures. There were no major complications.

Conclusion

VSP is a very viable method that saves time and cost, making surgery more efficient.

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腓骨游离皮瓣重建下颌骨的室内虚拟手术计划：病例系列和文献综述

腓骨游离皮瓣(FFF)手术长期用于复杂的下颌骨重建术。虚拟手术计划(VSP)已被外科医生纳入重建计划，并被发现可以减少手术时间和外科医生术中压力。与传统重建相比，VSP提高了准确性、手术效率和临床效果。然而，另一方面，VSP需要先进的技术，如软件和3D打印设备，这些并不总是在所有中心都可以使用。本文描述了利用开源软件进行FFF下颌骨VSP重建的工作流程。方法3例患者采用FFF重建下颌骨。所有重建计划均采用VSP。结果平均手术时间765分钟(615 ~ 960分钟)，平均缺血时间260分钟(120 ~ 355分钟)，平均住院时间10.7天(10 ~ 12天)。没有皮瓣失败。没有重大并发症。结论vsp是一种可行的手术方法，节省了手术时间和成本，提高了手术效率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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