Functional Outcomes of Virtually Planned Free Fibula Flap Reconstruction of the Mandible

Abstract

Therapeutic, IV.

Accuracy of fibula reconstruction using patient-specific CAD/CAM reconstruction plates and dental implants: A new modality for functional reconstruction of mandibular defects

“…In most cases, especially in immediate reconstruction following ablative surgery, the chances of implant-supported dental rehabilitation, therefore, will increase. Recently, Avraham et al (2014) showed that in their digitally planned fibula reconstruction group 11 of 14 patients with immediate implant placement achieved dental rehabilitation. We believe dental implant placement in the fibula while attached to the leg (before harvesting) provides clear advantages over secondary placement.…”

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

“…[1][2][3][4][5][7][8][9][10][11][12][13][14][15] Benefits of using the new technology could be improved surgical precision; decreased operative time, cost, and complications; and enhanced outcomes, with a gentle learning curve. 6,8,10,11,[16][17][18] For segmental mandibular reconstruction, the unique and three-dimensional parabolic shape of the mandible is difficult to construct from a flat, short bone such as the fibula, 19,20 the workhorse vascularized bone graft at the present time. 21,22 Therefore, a strong rationale for computer-aided surgery with the perceived advantages of improved aesthetics and better interarch relationship between the maxilla and the mandible Disclosure: The authors have no conflicts of interest to declare.…”

Worldwide 10-Year Systematic Review of Treatment Trends in Fibula Free Flap for Mandibular Reconstruction

“…We believe this to be an emerging area of research that carries much promise in years to come as many studies have shown improved outcomes using this technique [13,19].…”

“…It also achieves more predictable implant placement and decreased the treatment time [13]. This enthusiasm about the CAD-CAM technology has led to the emergence of studies rationalizing the use of this technique [12,13]. The wide availability of these resources in the developed countries may have led to the increase in numbers of publications from these countries.…”

“…The recent advances in computeraided virtual planning in the past 10 years allowed prosthetic-guided placement of titanium implants immediately or within a short period after the reconstructive phase [12]. It also achieves more predictable implant placement and decreased the treatment time [13]. This enthusiasm about the CAD-CAM technology has led to the emergence of studies rationalizing the use of this technique [12,13].…”