Jaw in a Day

Levine, Jamie P.; Bae, Jin Soo; Soares, Marc A.; Brecht, Lawrence E.; Saadeh, Pierre B.; Ceradini, Daniel J.; Hirsch, David L.

doi:10.1097/prs.0b013e31828bd8d0

Cited by 176 publications

(45 citation statements)

References 13 publications

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“…The 'double-barreling' of the fibula enables immediate osseointegrated dental implantation, obtaining better results and lower complication rates compared to vertical distraction devices [ 23 ]. Levine et al [ 51 ] even published three cases of total mandibular reconstruction in a single stage procedure with immediate dental implantation. Preoperative virtual surgery planning using 3D technology has shown convincing improvements in postoperative outcomes, including a reduced operation duration and increased functional as well as aesthetic results, and should be considered, especially in complex defects [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications

et al. 2016

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The reconstruction of the mandible is a complex procedure because various cosmetic as well as functional challenges must be addressed, including mastication and oral competence. Many surgical techniques have been described to address these challenges, including non-vascularized bone grafts, vascularized bone grafts, and approaches related to tissue engineering. This review summarizes different modifications of the free vascularized fibula graft, which, since its introduction by Hidalgo in 1989, has become the first option for mandibular reconstruction. The fibula free flap can undergo various modifications according to the individual requirements of a particular reconstruction. Osteocutaneous flaps can be harvested for reconstruction of composite defects. 'Double-barreling' of the fibula can, for instance, enable enhanced aesthetic and functional results, as well as immediate one-stage osseointegrated dental implantation. Recently described preoperative virtual surgery planning to facilitate neomandible remodeling could guarantee good results. To conclude, the free fibula bone graft can currently be regarded as the "gold standard" for mandibular reconstruction in case of composite (inside and outside) oral cavity defects as well as a way of enabling the performance of one-stage dental implantation.

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Section: Discussionmentioning

confidence: 99%

Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications

et al. 2016

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“…There are many excellent case reports [17–20] and case series [6–8, 13, 21–25] that describes the planning and implementation of computer-aided design (CAD) for complex head and neck reconstruction. Figures 1, 2 and 3 demonstrate a case that would otherwise be very challenging without computerized surgical planning and guides for execution.…”

Section: Introductionmentioning

confidence: 99%

Using 3D computer planning for complex reconstruction of mandibular defects

et al. 2016

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For complex reconstruction of osseous defects of the head and neck, three-dimensional (3D) computer planning has been available for over 20 years. However, despite its availability and recent refinements, it is a technology that has not been widely adopted. While 3D computer planning has been proposed to improve surgical precision, reduce operating time and enhance functional outcomes, the objective evidence supporting these claims is limited. Here we review the recent literature that supports the use of 3D computer planning for complex osseous defects of the mandible. We highlight a case example where 3D modeling played a critical role, particularly during the virtual surgical planning stage. Finally, we propose that routine post-operative 3D analysis become an essential element in determining operative success. Critical evaluation of outcomes will better define its use in complex reconstruction of osseous defects.

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“…Even though recipient vessels, pedicle length and reach, oral lining and skin deficiency, location and type of skin vessels supplying the osteocutaneous fibula flap skin paddle, and volume restoration/augmentation in mandible reconstruction are crucial elements [ 23 24 25 26 27 ], it is difficult to consider and apply these variables in phases II and III of CAS [ 9 10 15 16 28 ].…”

Section: Limitations Of Computer-aided Surgerymentioning

confidence: 99%

The Pros and Cons of Computer-Aided Surgery for Segmental Mandibular Reconstruction after Oncological Surgery

Han

Kim

Lee

2017

Arch Craniofac Surg

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Computer-aided surgery (CAS) started being used for head and neck reconstruction in the late 2000s. Its use represented a paradigm shift, changing the concept of head and neck reconstruction as well as mandible reconstruction. Reconstruction using CAS proceeds through 4 phases: planning, modeling, surgery, and evaluation. Thus, it can overcome a number of trial-and-error issues which may occur in the operative field and reduce surgical time. However, if it is used for oncologic surgery, it is difficult to evaluate tumor margins during tumor surgery, thereby restricting pre-surgical planning. Therefore, it is dangerous to predetermine the resection margins during the pre-surgical phase and the variability of the resection margins must be taken into consideration. However, it allows for the preparation of a prebending plate and planning of an osteotomy site before an operation, which are of great help. If the current problems are resolved, its applications can be greatly extended.

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Jaw in a Day

Abstract: Therapeutic, V.

Cited by 176 publications

References 13 publications

Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications

Mandibular Reconstruction Using the Free Vascularized Fibula Graft: An Overview of Different Modifications

Using 3D computer planning for complex reconstruction of mandibular defects

The Pros and Cons of Computer-Aided Surgery for Segmental Mandibular Reconstruction after Oncological Surgery

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