Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction
Background/purpose: With the development of computer-assisted surgery, digital guide plate was widely used in vascularized bone flap grafts for mandibular reconstruction. The purpose of this study was to design and manufacture a digital guide plate with drill-hole sharing for mandibular reconstructi...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Journal of Dental Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1991790223000430 |
| _version_ | 1797672794612301824 |
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| author | Li-dong Wang Wen Ma Shuai Fu Chang-bin Zhang Qing-ying Cui Can-bang Peng Si-hang Wang Ming Li |
| author_facet | Li-dong Wang Wen Ma Shuai Fu Chang-bin Zhang Qing-ying Cui Can-bang Peng Si-hang Wang Ming Li |
| author_sort | Li-dong Wang |
| collection | DOAJ |
| description | Background/purpose: With the development of computer-assisted surgery, digital guide plate was widely used in vascularized bone flap grafts for mandibular reconstruction. The purpose of this study was to design and manufacture a digital guide plate with drill-hole sharing for mandibular reconstruction and assess for surgical accuracy. Materials and methods: 17 patients that required mandibular reconstruction using fibula free flap or iliac crest free flap were included in the study. The computed tomography (CT) data of the patient's mandible and pelvis or fibula were acquired preoperatively. A surgical simulation was then performed using computer-aided surgical simulation (CASS) technology based on above date, which allowed the design of two cutting guide and a repositioning guide for mandibular reconstruction. After surgery, the accuracy of reconstruction was evaluated by superimposing the postoperative image onto the preoperative image of mandible, recording the linear and angular deviation of landmarks, measuring the differences between the planned and actual outcomes. Results: The osteotomy and repositioning of fibula or iliac crest segments were successfully performed as planned using surgical guides. The digital guide plate with drill-hole sharing showed excellent accuracy, When the iliac crest or the fibula free flap were used for mandibular reconstruction, the largest mean differences between the preoperative and postoperative were 1.11 mm and 2.8° or 1.3 mm and 3.87°. Conclusion: The digital guide plate with drill-hole sharing designed preoperatively provides a reliable method of for the mandibular reconstruction. This can assist surgeons in accurately performing osteotomy and repositioning fibula or iliac crest segments during the mandibular reconstruction. |
| first_indexed | 2024-03-11T21:35:23Z |
| format | Article |
| id | doaj.art-fdcfa6d1b19c437eaeed4d7fa6c4a11c |
| institution | Directory Open Access Journal |
| issn | 1991-7902 |
| language | English |
| last_indexed | 2024-03-11T21:35:23Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Dental Sciences |
| spelling | doaj.art-fdcfa6d1b19c437eaeed4d7fa6c4a11c2023-09-27T04:42:20ZengElsevierJournal of Dental Sciences1991-79022023-10-0118416041611Application of digital guide plate with drill-hole sharing technique in the mandible reconstructionLi-dong Wang0Wen Ma1Shuai Fu2Chang-bin Zhang3Qing-ying Cui4Can-bang Peng5Si-hang Wang6Ming Li7Department of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, ChinaDepartment of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Kunming, China; Yunnan Key Laboratory of Stomatology, Kunming, China; Corresponding author. Department of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, 1088, Middle Haiyuan Road, High-tech Zone, Kunming, 650106, China.Background/purpose: With the development of computer-assisted surgery, digital guide plate was widely used in vascularized bone flap grafts for mandibular reconstruction. The purpose of this study was to design and manufacture a digital guide plate with drill-hole sharing for mandibular reconstruction and assess for surgical accuracy. Materials and methods: 17 patients that required mandibular reconstruction using fibula free flap or iliac crest free flap were included in the study. The computed tomography (CT) data of the patient's mandible and pelvis or fibula were acquired preoperatively. A surgical simulation was then performed using computer-aided surgical simulation (CASS) technology based on above date, which allowed the design of two cutting guide and a repositioning guide for mandibular reconstruction. After surgery, the accuracy of reconstruction was evaluated by superimposing the postoperative image onto the preoperative image of mandible, recording the linear and angular deviation of landmarks, measuring the differences between the planned and actual outcomes. Results: The osteotomy and repositioning of fibula or iliac crest segments were successfully performed as planned using surgical guides. The digital guide plate with drill-hole sharing showed excellent accuracy, When the iliac crest or the fibula free flap were used for mandibular reconstruction, the largest mean differences between the preoperative and postoperative were 1.11 mm and 2.8° or 1.3 mm and 3.87°. Conclusion: The digital guide plate with drill-hole sharing designed preoperatively provides a reliable method of for the mandibular reconstruction. This can assist surgeons in accurately performing osteotomy and repositioning fibula or iliac crest segments during the mandibular reconstruction.http://www.sciencedirect.com/science/article/pii/S1991790223000430Digital surgical guide plateDrill-hole sharing3D printingMandible reconstructionFibula free flapIliac crest free flap |
| spellingShingle | Li-dong Wang Wen Ma Shuai Fu Chang-bin Zhang Qing-ying Cui Can-bang Peng Si-hang Wang Ming Li Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction Journal of Dental Sciences Digital surgical guide plate Drill-hole sharing 3D printing Mandible reconstruction Fibula free flap Iliac crest free flap |
| title | Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction |
| title_full | Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction |
| title_fullStr | Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction |
| title_full_unstemmed | Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction |
| title_short | Application of digital guide plate with drill-hole sharing technique in the mandible reconstruction |
| title_sort | application of digital guide plate with drill hole sharing technique in the mandible reconstruction |
| topic | Digital surgical guide plate Drill-hole sharing 3D printing Mandible reconstruction Fibula free flap Iliac crest free flap |
| url | http://www.sciencedirect.com/science/article/pii/S1991790223000430 |
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