Abstract
To design a new CAD/CAM technique to accurately transfer the simulation planning of mandiubular reconstruction to real surgery. First, we designed triple-template-method of computer assisted mandiubular reconstruction by defining mandibulectomy, fibula cutting and positioning. Then, we tested the accuracy of this method by cadaveric surgery. Finally, we applied this method in four patients who required mandibular resection and immediate reconstruction. Cadaveric surgery showed that the triple template method can accurately transfer the simulation planning to the real surgery. In the patient oriented study, the reconstructed mandibles presented high similarity to the surgical planning. Postoperative facial appearance and occlusal relationship were satisfying (Figs. 1–4). The method of defining the tumor resection, fibula cutting and positioning by surgical templates was accurate enough for mandible reconstruction surgery.
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