Accuracy of Fibula Reconstruction Using Patient-Specific Cad/Cam Plates: A Multicenter Study on 47 Patients
Autor: | Emanuele Zavattero, Manlio Gessaroli, A. Bolzoni, Gian Paolo Tartaro, Claudia Borbon, Stefano Valsecchi, Chiara Copelli, Alessandro Baj, Luigi Califano, Marco Sant'Agata, Valentino Valentini, Olindo Massarelli, Giovanni Orabona Dell’Aversana, Andrea Ferri, Guglielmo Ramieri, Marco Della Monaca, Andrea Varazzani, Giada Anna Beltramini, Roberto Cocchi |
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Přispěvatelé: | Zavattero, Emanuele, Bolzoni, Alessandro, Dell'Aversana, Giovanni, Santagata, Mario, Massarelli, Olindo, Ferri, Andrea, Della Monaca, Marco, Copelli, Chiara, Gessaroli, Manlio, Valsecchi, Stefano, Borbon, Claudia, Beltramini, Giada Anna, Ramieri, Guglielmo, Valentini, Valentino, Tartaro, Gian Paolo, Cocchi, Roberto, Varazzani, Andrea, Califano, Luigi, Baj, Alessandro, Zavattero, E., Bolzoni, A., Dell'Aversana, G., Santagata, M., Massarelli, O., Ferri, A., Della Monaca, M., Copelli, C., Gessaroli, M., Valsecchi, S., Borbon, C., Beltramini, G. A., Ramieri, G., Valentini, V., Tartaro, G. P., Cocchi, R., Varazzani, A., Califano, L., Baj, A. |
Rok vydání: | 2020 |
Předmět: |
Adult
Male Patient-Specific Modeling medicine.medical_specialty CAD Surgical planning Free Tissue Flaps CAD/CAM Patient Care Planning 03 medical and health sciences accuracy of reconstruction fibula flap mandibular reconstruction reconstruction surgery 0302 clinical medicine Imaging Three-Dimensional Medicine Humans Prospective Studies Mandibular reconstruction Fibula Prospective cohort study business.industry 030206 dentistry Evidence-based medicine Patient specific Middle Aged Surgery Otorhinolaryngology Multicenter study Surgery Computer-Assisted 030220 oncology & carcinogenesis Computer-Aided Design Female Anatomic Landmarks Mandibular Reconstruction business |
Zdroj: | The LaryngoscopeREFERENCES. 131(7) |
ISSN: | 1531-4995 |
Popis: | Objectives: This prospective study evaluated the accuracy of mandibular reconstruction using free fibular flaps (by comparing virtual plans to the three-dimensional postoperative results), and the extent of bone-to-bone contact after computer-assisted surgery. Methods: We included 65 patients who underwent partial-continuity mandibular resections from February 2013 to January 2017, and evaluated virtual planning, surgical techniques, and accuracy. Results: Forty-seven patients were analysed. A total of 112 fibular segments received 54 implants. We measured 227 distances between landmarks to assess the accuracy of reconstruction. Postoperative reconstruction accuracy ranged from 0.5 to 3 mm. Conclusion: Virtual surgical planning very accurately translated simulation into reality, particularly in patients requiring large, complex mandibular reconstructions using multiple fibular segments. Level of evidence: 4 Laryngoscope, 131:E2169–E2175, 2021. |
Databáze: | OpenAIRE |
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