Mandibular reconstruction assisted by preoperative simulation and accurate transferring templates: preliminary report of clinical application

J Oral Maxillofac Surg. 2013 Sep;71(9):1613-8. doi: 10.1016/j.joms.2013.02.018. Epub 2013 Jun 27.

Abstract

Purpose: This study investigated the application of a computer-aided design and manufacturing technique of defining tumor resection, fibula cutting, and positioning by surgical templates in mandibular reconstructive surgery.

Materials and methods: Four patients who required mandibulectomy and simultaneous reconstruction were enrolled in this study. Preoperative surgical simulation was performed. The surgical templates that defined tumor resection, fibula cutting, and positioning were designed and fabricated.

Results: The surgeries were performed to the preoperative plan. All flaps survived. Superimposition of the postoperative image and the preoperative plan showed a satisfactory surgical accuracy.

Conclusions: This method of defining tumor resection, fibula cutting, and positioning by surgical templates was accurate enough for mandibular reconstructive surgery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ameloblastoma / surgery
  • Bone Plates
  • Bone Transplantation / methods
  • Carcinoma, Squamous Cell / surgery
  • Chondrosarcoma / surgery
  • Computer Simulation*
  • Computer-Aided Design*
  • Fibula / surgery
  • Fiducial Markers
  • Follow-Up Studies
  • Gingival Neoplasms / surgery
  • Graft Survival
  • Humans
  • Imaging, Three-Dimensional / methods
  • Male
  • Mandibular Diseases / surgery
  • Mandibular Neoplasms / surgery*
  • Mandibular Reconstruction / methods*
  • Middle Aged
  • Osteoradionecrosis / surgery
  • Patient Care Planning*
  • Plastic Surgery Procedures / methods
  • Surgical Flaps / pathology
  • Tomography, Spiral Computed / methods
  • Transplant Donor Site / surgery
  • User-Computer Interface