[Stereomodel-assisted fibula free flap harvest and mandibular reconstruction: A technical note. Literature review of CAS and CAM applied to mandibular reconstruction].

Autor:	Pauchot J; Service d'orthopédie, de traumatologie, de chirurgie plastique, reconstructrice et assistance main, CHU de Besançon, 25033 Besançon cedex, France; EA 4268 innovation, imagerie, ingénierie et intervention en santé « I4S », IFR 133 Inserm, faculté de médecine et de pharmacie, université de Franche-Comté, 25030 Besançon cedex, France. Electronic address: julien.pauchot@gmail.com., Lachat J; AIP-Primeca de Franche-Comté, ENSMM, 26, rue de l'épitaphe, 25030 Besançon cedex, France., Floret F; Service de chirurgie ORL, CHU de Besançon, 25033 Besançon cedex, France., Badet JM; Service de chirurgie ORL, CHU de Besançon, 25033 Besançon cedex, France., Tavernier L; EA 4268 innovation, imagerie, ingénierie et intervention en santé « I4S », IFR 133 Inserm, faculté de médecine et de pharmacie, université de Franche-Comté, 25030 Besançon cedex, France; Service de chirurgie ORL, CHU de Besançon, 25033 Besançon cedex, France., Aubry S; EA 4268 innovation, imagerie, ingénierie et intervention en santé « I4S », IFR 133 Inserm, faculté de médecine et de pharmacie, université de Franche-Comté, 25030 Besançon cedex, France; Service d'imagerie ostéoarticulaire, CHU de Besançon, 25033 Besançon cedex, France.
Jazyk:	francouzština
Zdroj:	Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale [Rev Stomatol Chir Maxillofac Chir Orale] 2013 Sep; Vol. 114 (4), pp. 269-275. Date of Electronic Publication: 2013 Aug 06.
DOI:	10.1016/j.revsto.2013.06.002
Abstrakt:	Purpose: Mandibular reconstruction with fibula free flap harvest is currently the reference technique. Various preoperative processes have been developed to optimize this reconstruction. We report our experience with a simple, inexpensive, preoperative technique requiring a 3D printer, a device for maintaining mandibular reduction, a paper-cutting guide. Technical Note: Stereomodels of the mandible were obtained from computed tomography scan data and printed 3D in ABS. It allowed planning mandibular osteotomies, determine the angle between two bone fragments, and preoperatively modeling the osteosynthesis plate. A paper-cutting guide, and a simple device for maintaining mandibular reduction were also built. Two patients were operated on with this technique, with follow-up at 6 and 8 months. Reconstructions were successful with good clinical outcome in terms of mandibular contour and reconstructed segments positions. Discussion: Preoperative planning of reconstruction may be used for mandibular osteotomies, fibular osteotomies, maintaining mandibular reduction, osteosynthesis, or placing implants for dental rehabilitation. The most complex procedures can virtually plan all these steps, but they are expensive and long to implement. Nevertheless, such procedures are quite expansive and require time not always compatible with carcinoma. Using a mandibular stereomodel is fast, easy, and cheap. (Copyright © 2013 Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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