Development of customized implant and customized surgical osteotomy guide in ablative tumor surgery for accurate mandibular reconstruction. Issue 1 (3rd January 2020)

• Record Type: Journal Article
• Authors: Dahake, Sandeep; Kuthe, Abhaykumar; Mawale, Mahesh; Sapkal, Pranav; Bagde, Ashutosh; Daronde, Subodh; Kamble, Manish; Sarode, Bhupesh
• Is Part Of: International journal of medical robotics and computer assisted surgery. Volume 16:Issue 1(2020)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2020-01-03
• Subjects: computer‐aided design -- customized implant -- customized surgical osteotomy guide -- rapid prototyping -- virtual surgical planning; Robotics in medicine -- Periodicals; Surgery -- Technological innovations -- Periodicals; Imaging systems in medicine -- Periodicals; 617.90285
• DOI: 10.1002/rcs.2046
• Languages: English
• ISSNs: 1478-5951

Abstract

Abstract: Objectives: The objective of this study was to provide the generalized methodology for design and development of a customized implant and customized surgical osteotomy guide (CSOG) for precise mandibular tumor resection and placement of a customized implant in ablative tumor surgery for accurate mandibular reconstruction. Methods: Medical imaging technique, image processing, virtual surgical planning (VSP), biomedical computer‐aided design (CAD), and rapid prototyping (RP) were used to develop CSOG and customized implant. A mock surgical test and an experimental analysis were performed on the biomodel (RP assisted diseased model) to check the effectiveness of the CSOG. Results: The paired t test showed the statistically significant result with the use of CSOG as compared to the without using CSOG in ablative mandibular tumor surgery. Conclusions: A mock test and an experimental analysis proved that, the precise tumor resection and customized implant placement with minimal gap between bone‐implant junctions in mandibular reconstruction using CSOG.