Abstract
previously programmed with 3D surgical planning, construction of cutting and reconstructive guides, laser prebended reconstructive plate. There were no drawbacks during the surgical steps. High precision of cutting guides and a good fit of the pre-bended plate both on the mandible and on the fibula were found intra-operatively. Extreme precision in bone-to-bone contact and position between mandible and fibula graft was also noticed. Conclusion We posit that using computerassisted mandibular reconstruction and virtual surgical planning for mandible reconstruction after ablative surgery will significantly improve the functional results, allowing for accurate recovery of function and facial contour and decreasing surgical time.
Highlights
Mandibular reconstruction with fibula free flap is today the gold standard for functional and aesthetic rehabilitation after oncological surgery
This paper reports a case of new concepts and technologies in mandibular reconstruction
We posit that using computer-assisted mandibular reconstruction (CAMR) and virtual surgical planning for mandible reconstruction after ablative surgery will significantly improve the functional results, allowing for accurate recovery of function and facial contour and decreasing surgical time
Summary
CAMR fosters multidisciplinary communication and provides accurate pre-surgical planning. This allows seamless reconstruction in patients requiring mandibular reconstruction via fibula free tissue transfer. Virtual surgical planning is an increasingly recognised technology for optimising surgical outcomes and minimising operative time This technology is especially useful in minimising operative time in complex defect where an osteo-fascio-cutaneous flap is used for the defect reconstruction especially when the mandibular symphysis is involved. We posit that using CAMR and virtual surgical planning for mandible reconstruction after ablative surgery will significantly improve the functional results, allowing for accurate recovery of function and facial contour and decreasing surgical time. Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal
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