Virtual Planning and Patient Specific Surgery Guides in Mandible and Maxillae Tumour Reconstruction with Free Fibula Flaps

Activity: Talk or presentation types › Oral presentation

Description

Wide resection remains the first-choice method for tumors of oral cavity. The main goal of preoperative planning is to develop customized surgical approach with patient specific cutting guides of mandible or maxillae, osteotomy guides of fibula and pre-bended osteosynthesis plates.. Twenty-three patients underwent mandible or maxillary reconstructions during the period of 2021 to 2022. All patients underwent one stage resection and reconstruction with microvascular bone flaps. All cases were 3-D virtually preplanned and surgical cutting guides were prepared using 3-D printers and sterilized.. All patients underwent bone defect reconstruction with free osteocutaneous fibula flap. In two cases additional lateral femoral condyle flap was used for mandible condyle reconstruction. Preoperative 3-D virtual planning matched surgical plan in all, except one case. All patients recovered well and was discharged from the hospital totally independent from nasogastric tube and tracheostomy. All patients achieved intelligible speech, mouth opening over 3 cm and  good functional and aesthetic outcome.. Individual 3-D virtual planning is a key for a better symmetry and functional outcome. Development of patient specific surgery guides provides more anatomical reconstruction and decreases the time of surgery.
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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