Maxillofacial Plastic and Reconstructive Surgery

  • 제37권
  • /
  • Pages.20.1-20.7
  • /
  • 2015
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지
DOI QR코드

DOI QR Code

Preliminary clinic study on computer assisted mandibular reconstruction: the positive role of surgical navigation technique

  • Huang, Jin-Wei (Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology) ;
  • Shan, Xiao-Feng (Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology) ;
  • Lu, Xu-Guang (Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology) ;
  • Cai, Zhi-Gang (Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology)
  • 투고 : 2015.06.01
  • 심사 : 2015.06.23
  • 발행 : 2015.12.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: The objectives of the present study were to investigate the reliability and outcomes of computer-assisted techniques in mandibular reconstruction with a fibula flap and verify whether the surgical navigation system was feasible in mandible reconstructive surgery. Methods: Eight cases were enrolled in the computer assisted surgery (CAS) group and 14 cases in the traditional group. The shaping and fixation of the fibula grafts were guided by computer assisted techniques, which could be monitored with the BrainLAB surgical navigation system. The variation of mandible configuration was evaluated by CT measurement in the Mimics software, including the variation of length, width, height and gonial angle of the mandible. The 3D facial soft tissue alteration was also analyzed in 3D chromatogram by Geomagic software. Results: All 22 fibula flaps survived. The mandibular configurations and facial contours had a better clinic result in the CAS group. The length, width, height and gonial angle of the reconstructive mandible were more similar to the original one. The Wilcoxon rank sum test analysis suggested significant differences in the measurements. The chromatographic analysis also visually showed superiority over the traditional group. Conclusions: The computer assisted surgical navigation method used in mandibular reconstruction is feasible and precise for clinical application. The contour of the reconstructed mandible and facial symmetry are improved with computer techniques.

키워드

참고문헌

  1. Rashid M, Tamimy MS, Ehtesham-Ul-Haq SSU, Rizvi ST (2012) Benign paediatric mandibular tumours: experience in reconstruction using vascularised fibula. J Plast Reconstr Aesthet Surg 65:325-31 https://doi.org/10.1016/j.bjps.2012.07.006
  2. Shan XF, Cai ZG, Zhang J, Zhang JG (2009) Bimaxillary reconstruction with vascularised and non-vascularised fibula. J Plast Reconstr Aesthet Surg 62:474-6 https://doi.org/10.1016/j.bjps.2008.06.088
  3. Punpale AS, Rajendra Prasad JS, Shetty KP, Kadam S, Udupa V (2006) An innovative design for simultaneous reconstruction of complexmaxillo-mandibular defects with single free fibula osteocutaneous flap. J Plast Reconstr Aesthet Surg 59:96-101 https://doi.org/10.1016/j.bjps.2005.07.006
  4. Nanjappa M, Natashekara M, Sendil Kumar C, Kumaraswamy SV, Keerthi R, Ashwin DP et al (2011) Transport distraction osteogenesis for reconstruction of mandibular defects": our experience. J Maxillofac Oral Surg 10:93-100 https://doi.org/10.1007/s12663-011-0190-4
  5. Noordhoek R, Pizer ME, Laskin DM (2012) Ameloblastic fibrosarcoma of the mandible: treatment, long-term follow-up, and subsequent reconstruction of a case. J Oral Maxillofac Surg 70:2930-5 https://doi.org/10.1016/j.joms.2012.02.018
  6. Hanasono MM, Skoracki RJ (2013) Computer-assisted design and rapid prototype modeling in microvascular mandible reconstruction. Laryngoscope 123:597-604 https://doi.org/10.1002/lary.23717
  7. Katsuragi Y, Kayano S, Akazawa S, Naqamatsu S, Koizumi T, Matsui T et al (2011) Mandible reconstruction using the calcium-sulphate three-dimensional model and rubber stick: a new method, 'mould technique', for more accurate, efficient and simplified fabrication. J Plast Reconstr Aesthet Surg 64:614-22 https://doi.org/10.1016/j.bjps.2010.08.010
  8. Tepper O, Hirsch D, Levine J, Garfein E (2012) The new age of three-dimensional virtual surgical planning in reconstructive plastic surgery. Plast Reconstr Surg 130:192-4 https://doi.org/10.1097/PRS.0b013e318254fbf6
  9. Zheng GS, Su YX, Liao GQ, Jiao PF, Liang LZ, Zhang SE et al (2012) Mandible reconstruction assisted by preoperative simulation and transferring templates: cadaveric study of accuracy. J Oral Maxillofac Surg 70:1480-5 https://doi.org/10.1016/j.joms.2011.05.015
  10. Harsha G, Reddy SG, Talasila S, Salaam SA, Srinivasulu M, Reddy VS (2012) Mandibular reconstruction using AO/ASIF stainless steel reconstruction plate: a retrospective study of 36 cases. J Contemp Dent Pract 13:75-9
  11. Yamanaka Y, Yajima H, Kirita T, Shimomura H, Tamaki S, Aoki K et al (2010) Mandibular reconstruction with vascularised fibular osteocutaneous flaps using prefabricated stereolithographic mandibular model. J Plast Reconstr Aesthet Surg 63:1751-3 https://doi.org/10.1016/j.bjps.2010.03.001
  12. Zheng GS, Su YX, Liao GQ, Chen ZF, Wang L, Jiao PF et al (2012) Mandible reconstruction assisted by preoperative virtual surgical simulation. Oral Surg Oral Med Oral Pathol Oral Radiol 113:604-11 https://doi.org/10.1016/j.tripleo.2011.05.016
  13. Lopez-Arcas JM, Arias J, Del Castillo JL, Burgueno M, Navarrol I, Moran MJ et al (2010) The fibula osteomyocutaneous flap for mandible reconstruction: a 15-year experience. J Oral Maxillofac Surg 68:2377-84 https://doi.org/10.1016/j.joms.2009.09.027
  14. Lin PY, Lin KC, Jeng SF (2011) Oromandibular reconstruction: the history, operative options and strategies, and our experience. ISRN Surg 2011:824251
  15. SimonnEN MMA, Shubi FM, Kalyanyama BM, Stoelinga PJ (2006) Reconstruction of the mandible after ablative surgery for the treatment of aggressive, benign odontogenic tumours in Tanzania: a preliminary study. Int J Oral Maxillofac Surg 35:421-6 https://doi.org/10.1016/j.ijom.2005.10.009
  16. Khadka A, Hu J (2012) Autogenous grafts for condylar reconstruction in treatment of TMJ ankylosis: current concepts and considerations for the future. Int J Oral Maxillofac Surg 41:94-102 https://doi.org/10.1016/j.ijom.2011.10.018
  17. Wang G, Li J, Khadka A, Hsu Y, Li W, Hu J (2012) CAD/CAM and rapid prototyped titanium for reconstruction of ramus defect and condylar fracture caused by mandibular reduction. Oral Surg Oral Med Oral Pathol Oral Radiol 113:356-61 https://doi.org/10.1016/j.tripleo.2011.03.034
  18. Sink J, Hamlar D, Kademani D, Khariwala SS (2012) Computer-aided stereolithography for presurgical planning in fibula free tissue reconstruction of the mandible. J Reconstr Microsurg 28:395-403
  19. Ciocca L, Mazzoni S, Fantini M, Marchetti C, Scotti R (2012) The design and rapid prototyping of surgical guides and bone plates to support iliac free flaps for mandible reconstruction. Plast Reconstr Surg 129:859-61 https://doi.org/10.1097/PRS.0b013e31824a9f31
  20. Hou JS, Chen M, Pan CB, Wang M, Wang JG, Zhang B et al (2012) Application of CAD/CAM-assisted technique with surgical treatment in reconstruction of the mandible. J Craniomaxillofac Surg 40:432-37 https://doi.org/10.1016/j.jcms.2012.02.022
  21. Kalbermatten DF, Hauq M, Schaefer DJ, Wolfinger E, Schumacher R, Messmer P et al (2004) Computer aided designed neo-clavicle out of osteotomized free fibula: case report. Br J Plast Surg 57:668-72 https://doi.org/10.1016/j.bjps.2004.05.013
  22. Ueda K, Tajima S, Oba S, Omiya Y, Byun SI, Okada M (2001) Mandibular contour reconstruction with three-dimensional computer-assisted models. Ann Plast Surg 46:387-93 https://doi.org/10.1097/00000637-200104000-00006
  23. Lopes N, Oliveira DM, Vajgel A, Pita I, Bezerra T, Vasconcellos RJ (2009) A new approach for reconstruction of a severely atrophic mandible. J Oral Maxillofac Surg 67:2455-9 https://doi.org/10.1016/j.joms.2009.04.090
  24. Vakharia KT, Natoli NB, Johnson TS (2012) Stereolithography-aided reconstruction of the mandible. Plast Reconstr Surg 129:194-5 https://doi.org/10.1097/PRS.0b013e3182365d51
  25. Mahdian N, Dostalova T, Danek J, Nedoma J, Kohout J, Hubacek M et al (2013) 3D reconstruction of TMJ after resection of the cyst and the stress-strain analyses. Comput Methods Programs Biomed 110:279-289 https://doi.org/10.1016/j.cmpb.2012.12.001

피인용 문헌

  1. Research on 3D reconstruction method of human-computer interaction scene based on support vector machine in cloud manufacturing environment vol.76, pp.16, 2015, https://doi.org/10.1007/s11042-016-3639-0
  2. Mandibular Surgical Navigation: An Innovative Guiding Method vol.28, pp.8, 2015, https://doi.org/10.1097/scs.0000000000003816
  3. Postoperative Three-Dimensional Evaluation of Mandibular Contouring Surgery Using Computer-Assisted Simulation Planning and a Three-Dimensional-Printed Surgical Guide vol.28, pp.3, 2017, https://doi.org/10.1097/scs.0000000000003442
  4. Vascularized scapula and latissimus dorsi flap for CAD/CAM assisted reconstruction of mandibular defects including the mandibular condyle: technical report and clinical results vol.19, pp.1, 2015, https://doi.org/10.1186/s12893-019-0535-3
  5. TOPOGRAPHICAL, ANATOMICAL AND GEOMETRIC CHARACTERISTICS SEGMENTAL DEFECTS OF THE MANDIBLE ACCORDING TO MULTISLICE COMPUTED TOMOGRAPHY vol.2020, pp.3, 2015, https://doi.org/10.29254/2077-4214-2020-3-157-357-365
  6. Virtual Reality Simulation and Augmented Reality-Guided Surgery for Total Maxillectomy: A Case Report vol.10, pp.18, 2015, https://doi.org/10.3390/app10186288
  7. The Shape of Things to Come: In‐Hospital Three‐Dimensional Printing for Mandibular Reconstruction Using Fibula Free Flap vol.130, pp.12, 2020, https://doi.org/10.1002/lary.28650
  8. Accuracy of Fibula Reconstruction Using Patient‐Specific Cad/Cam Plates: A Multicenter Study on 47 Patients vol.131, pp.7, 2021, https://doi.org/10.1002/lary.29379