"One-piece" patient-specific reconstruction plate for double-barrel fibula-based mandibular reconstruction. Issue 8 (August 2020)

• Record Type: Journal Article
• Authors: Yang, W.F.; Choi, W.S.; Zhu, W.Y.; Su, Y.X.
• Is Part Of: International journal of oral & maxillofacial surgery. Volume 49:Issue 8(2020:Aug.)
• Page Start: 1016
• Page End: 1019
• Publication Date: 2020-08
• Subjects: mandibular reconstruction -- head and neck reconstruction -- patient-specific surgical plate -- reconstruction plate -- bone plates -- titanium -- three-dimensional printing -- fibula -- vascularized flap -- double-barrel -- computer-assisted surgery -- computer-aided surgery -- virtual surgery; Mouth -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Dentistry -- Periodicals; Dentistry, Operative; Oral Surgical Procedures; Surgery, Oral; Dentistry; Maxilla -- Surgery; Mouth -- Surgery; Electronic journals; Periodicals; 617.52059
• DOI: 10.1016/j.ijom.2019.12.006
• Languages: English
• ISSNs: 0901-5027

Abstract

Abstract: Segmental mandibular defects require reconstruction. The fibula flap serves as a versatile flap in restoring mandibular contour and bony height. With the advances in computer-aided design and additive manufacturing technology, an innovative "one-piece" patient-specific reconstruction plate to facilitate double-barrel fibula flap shaping and bone securing was developed; the plate is described in this study. The "one-piece" plate is fabricated with individualized specifications and is mainly composed of three components: the long-bar reconstruction plate, a short-bar plate, and connecting bars. Our initial experiences showed that mandibular reconstructive surgery was greatly facilitated by the "one-piece" reconstruction plate for double-barrel fibula flap reconstruction and achieved satisfactory outcomes. A well-designed clinical trial is required to confirm the superiority of the "one-piece" reconstruction plate in the future. ClinicalTrials.gov registration: NCT03057223.