Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide
In the present study, a fibular osteotomy guide based on a computer simulation was applied to a patient who had undergone mandibular segmental ostectomy due to oncological complications. This patient was a 68-year-old woman who presented to our department with a biopsy-proven squamous cell carcinoma...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2014-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.5.584 |
| _version_ | 1828149643310006272 |
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| author | Woo Shik Jeong Jong Woo Choi Seung Ho Choi |
| author_facet | Woo Shik Jeong Jong Woo Choi Seung Ho Choi |
| author_sort | Woo Shik Jeong |
| collection | DOAJ |
| description | In the present study, a fibular osteotomy guide based on a computer simulation was applied to a patient who had undergone mandibular segmental ostectomy due to oncological complications. This patient was a 68-year-old woman who presented to our department with a biopsy-proven squamous cell carcinoma on her left gingival area. This lesion had destroyed the cortical bony structure, and the patient showed attenuation of her soft tissue along the inferior alveolar nerve, indicating perineural spread of the tumor. Prior to surgery, a three-dimensional computed tomography scan of the facial and fibular bones was performed. We then created a virtual computer simulation of the mandibular segmental defect through which we segmented the fibular to reconstruct the proper angulation in the original mandible. Approximately 2-cm segments were created on the basis of this simulation and applied to the virtually simulated mandibular segmental defect. Thus, we obtained a virtual model of the ideal mandibular reconstruction for this patient with a fibular free flap. We could then use this computer simulation for the subsequent surgery and minimize the bony gaps between the multiple fibular bony segments. |
| first_indexed | 2024-04-11T21:32:20Z |
| format | Article |
| id | doaj.art-9239ae8404104bdeaff1f8000d1f6c4b |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T21:32:20Z |
| publishDate | 2014-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-9239ae8404104bdeaff1f8000d1f6c4b2022-12-22T04:01:54ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712014-09-01410558458710.5999/aps.2014.41.5.584408Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy GuideWoo Shik Jeong0Jong Woo Choi1Seung Ho Choi2Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, KoreaIn the present study, a fibular osteotomy guide based on a computer simulation was applied to a patient who had undergone mandibular segmental ostectomy due to oncological complications. This patient was a 68-year-old woman who presented to our department with a biopsy-proven squamous cell carcinoma on her left gingival area. This lesion had destroyed the cortical bony structure, and the patient showed attenuation of her soft tissue along the inferior alveolar nerve, indicating perineural spread of the tumor. Prior to surgery, a three-dimensional computed tomography scan of the facial and fibular bones was performed. We then created a virtual computer simulation of the mandibular segmental defect through which we segmented the fibular to reconstruct the proper angulation in the original mandible. Approximately 2-cm segments were created on the basis of this simulation and applied to the virtually simulated mandibular segmental defect. Thus, we obtained a virtual model of the ideal mandibular reconstruction for this patient with a fibular free flap. We could then use this computer simulation for the subsequent surgery and minimize the bony gaps between the multiple fibular bony segments.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.5.584surgery, plastichead and neck neoplasmsmandibular reconstructionfree tissue flapscomputer simulation |
| spellingShingle | Woo Shik Jeong Jong Woo Choi Seung Ho Choi Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide Archives of Plastic Surgery surgery, plastic head and neck neoplasms mandibular reconstruction free tissue flaps computer simulation |
| title | Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide |
| title_full | Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide |
| title_fullStr | Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide |
| title_full_unstemmed | Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide |
| title_short | Computer Simulation Surgery for Mandibular Reconstruction Using a Fibular Osteotomy Guide |
| title_sort | computer simulation surgery for mandibular reconstruction using a fibular osteotomy guide |
| topic | surgery, plastic head and neck neoplasms mandibular reconstruction free tissue flaps computer simulation |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.5.584 |
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