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Accelerated workflow for primary jaw reconstruction with microvascular fibula graft

INTRODUCTION: Major facial defects due to cancer or deformities can be reconstructed through microvascular osteocutaneous flaps. Hereby CAD/CAM workflows offer a possibility to optimize reconstruct and reduce surgical time. We present a retrospectiv observational study regarding the developement of...

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Autores principales: Goetze, Elisabeth, Gielisch, Matthias, Moergel, Maximilian, Al-Nawas, Bilal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036765/
https://www.ncbi.nlm.nih.gov/pubmed/30050980
http://dx.doi.org/10.1186/s41205-017-0010-7
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author Goetze, Elisabeth
Gielisch, Matthias
Moergel, Maximilian
Al-Nawas, Bilal
author_facet Goetze, Elisabeth
Gielisch, Matthias
Moergel, Maximilian
Al-Nawas, Bilal
author_sort Goetze, Elisabeth
collection PubMed
description INTRODUCTION: Major facial defects due to cancer or deformities can be reconstructed through microvascular osteocutaneous flaps. Hereby CAD/CAM workflows offer a possibility to optimize reconstruct and reduce surgical time. We present a retrospectiv observational study regarding the developement of an in-house workflow allowing an accelerated CAD/CAM fibula reconstruction without outsourcing. CASE DESCRIPTION: Workflow includes data acquisition through computertomography of head and legs, segmentation of the data and virtual surgery. The virtual surgery was transferred into surgical guides and prebent osteosynthesis plate. Those were sterilized and used in surgery. EVALUATION: The workflow was used in 30 cases. Minimum planning period took 4 days from CT to surgery, average time was 8 days. Planning could be transferred to surgery every time. Intraoperative complications regarding osteotomy, assembly and fixation did not occur. DISCUSSION/CONCLUSION: An in-house workflow for CAD/CAM fibula reconstruction is feasible within a few days providing an accelerated procedure even in urgent cases.
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spelling pubmed-60367652018-07-24 Accelerated workflow for primary jaw reconstruction with microvascular fibula graft Goetze, Elisabeth Gielisch, Matthias Moergel, Maximilian Al-Nawas, Bilal 3D Print Med Case Study INTRODUCTION: Major facial defects due to cancer or deformities can be reconstructed through microvascular osteocutaneous flaps. Hereby CAD/CAM workflows offer a possibility to optimize reconstruct and reduce surgical time. We present a retrospectiv observational study regarding the developement of an in-house workflow allowing an accelerated CAD/CAM fibula reconstruction without outsourcing. CASE DESCRIPTION: Workflow includes data acquisition through computertomography of head and legs, segmentation of the data and virtual surgery. The virtual surgery was transferred into surgical guides and prebent osteosynthesis plate. Those were sterilized and used in surgery. EVALUATION: The workflow was used in 30 cases. Minimum planning period took 4 days from CT to surgery, average time was 8 days. Planning could be transferred to surgery every time. Intraoperative complications regarding osteotomy, assembly and fixation did not occur. DISCUSSION/CONCLUSION: An in-house workflow for CAD/CAM fibula reconstruction is feasible within a few days providing an accelerated procedure even in urgent cases. Springer International Publishing 2017-02-14 /pmc/articles/PMC6036765/ /pubmed/30050980 http://dx.doi.org/10.1186/s41205-017-0010-7 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Study
Goetze, Elisabeth
Gielisch, Matthias
Moergel, Maximilian
Al-Nawas, Bilal
Accelerated workflow for primary jaw reconstruction with microvascular fibula graft
title Accelerated workflow for primary jaw reconstruction with microvascular fibula graft
title_full Accelerated workflow for primary jaw reconstruction with microvascular fibula graft
title_fullStr Accelerated workflow for primary jaw reconstruction with microvascular fibula graft
title_full_unstemmed Accelerated workflow for primary jaw reconstruction with microvascular fibula graft
title_short Accelerated workflow for primary jaw reconstruction with microvascular fibula graft
title_sort accelerated workflow for primary jaw reconstruction with microvascular fibula graft
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036765/
https://www.ncbi.nlm.nih.gov/pubmed/30050980
http://dx.doi.org/10.1186/s41205-017-0010-7
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