Your browser doesn't support javascript.
loading
Iterations of computer- and template assisted mandibular or maxillary reconstruction with free flaps containing the lateral scapular border--Evolution of a biplanar plug-on cutting guide.
Cornelius, Carl-Peter; Giessler, Goetz Andreas; Wilde, Frank; Metzger, Marc Christian; Mast, Gerson; Probst, Florian Andreas.
Afiliación
  • Cornelius CP; Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University, Munich, Germany. Electronic address: Peter.Cornelius@med.uni-muenchen.de.
  • Giessler GA; Department of Plastic, Reconstructive, Esthetic and Hand Surgery, Klinikum Kassel, Kassel, Germany.
  • Wilde F; Department of Oral and Maxillofacial Surgery, Facial Plastic Surgery, German Armed Forces Hospital Ulm and Academic Hospital of Ulm University, Ulm, Germany.
  • Metzger MC; Department of Oral and Maxillofacial Surgery, Albert-Ludwig-University, Freiburg i. Brsg., Germany.
  • Mast G; Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University, Munich, Germany.
  • Probst FA; Department of Oral and Maxillofacial Surgery, Ludwig-Maximilians-University, Munich, Germany.
J Craniomaxillofac Surg ; 44(3): 229-41, 2016 Mar.
Article en En | MEDLINE | ID: mdl-26792709
BACKGROUND: Computer-assisted planning and intraoperative implementation using templates have become appreciated modalities in craniofacial reconstruction with fibula and DCIA flaps due to saving in operation time, improved accuracy of osteotomies and easy insetting. Up to now, a similar development for flaps from the subscapular vascular system, namely the lateral scapular border and tip, has not been addressed in the literature. PATIENTS/METHOD: A cohort of 12 patients who underwent mandibular (n = 10) or maxillary (n = 2) reconstruction with free flaps containing the lateral scapular border and tip using computer-assisted planning, stereolithography (STL) models and selective laser sintered (SLS) templates for bone contouring and sub-segmentation osteotomies was reviewed focussing on iterations in the design of computer generated tools and templates. RESULTS: The technical evolution migrated from hybrid STL models over SLS templates for cut out as well as sub-segmentation with a uniplanar framework to plug-on tandem template assemblies providing a biplanar access for the in toto cut out from the posterior aspect in succession with contouring into sub-segments from the medial side. CONCLUSION: The latest design version is the proof of concept that virtual planning of bone flaps from the lateral scapular border can be successfully transferred into surgery by appropriate templates.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante Óseo / Mandíbula / Maxilar Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trasplante Óseo / Mandíbula / Maxilar Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido