Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Dec;130(12):E811-E816.
doi: 10.1002/lary.28650. Epub 2020 Apr 6.

The Shape of Things to Come: In-Hospital Three-Dimensional Printing for Mandibular Reconstruction Using Fibula Free Flap

Emanuele Zavattero  1 , Massimo Fasolis  1 , Andrea Novaresio  2 , Giovanni Gerbino  1 , Claudia Borbon  1 , Guglielmo Ramieri  1
Affiliations

The Shape of Things to Come: In-Hospital Three-Dimensional Printing for Mandibular Reconstruction Using Fibula Free Flap

Emanuele Zavattero et al. Laryngoscope. 2020 Dec.

Abstract

Objectives/hypothesis: The aim of this study was to explore whether the production of in-hospital, low-cost surgical cutting guides would be possible and to assess different cutting guide shapes to facilitate the surgery and the application with instruments.

Study design: Cohort study.

Methods: Using free computer-aided design software, surgical cutting guides for the mandible and fibula were designed and used to perform virtual segmental osteotomies and fibula transplants in seven patients.

Results: Fourteen virtual osteotomies were performed using the free software and the proposed workflow. Thirteen guides were then printed to transfer the virtual planning information to the operating room.

Conclusions: Virtual planning and the three-dimensional (3D) printing of guides for mandibular reconstruction is reliable with the aid of an in-hospital 3D laboratory. We also demonstrated that different guides with different shapes could be produced with benefits during surgery.

Level of evidence: 4 Laryngoscope, 2020.

Keywords: Computer-aided design; computer-aided manufacturingreconstruction surgerymandibular reconstructionfibula flapthree-dimensional printing.

PubMed Disclaimer

References

BIBLIOGRAPHY

    1. Tarsitano A, Del Corso G, Ciocca L, Scotti R, Marchetti C. Mandibular reconstructions using computer-aided design/computer-aided manufacturing: a systematic review of a defect-based reconstructive algorithm. J Craniomaxillofac Surg 2015;43:1785-1791.
    1. Zheng GS, Su YX, Liao GQ, et al. Mandible reconstruction assisted by preoperative simulation and transferring templates: cadaveric study of accuracy. J Oral Maxillofac Surg 2012;70:1480-1485.
    1. Hanasono MM, Skoracki RJ. Computer-assisted design and rapid prototype modeling in microvascular mandible reconstruction. Laryngoscope 2013;123:597-604.
    1. Hirsch DL, Garfein ES, Christensen AM, Weimer KA, Saddeh PB, Levine JP. Use of computeraided design and computer-aided manufacturing to produce orthognathically ideal surgical outcomes: a paradigm shift in head and neck reconstruction. J Oral Maxillofac Surg 2009;67:2115-2122.
    1. Toto JM, Chang EI, Agag R, Devarajan K, Patel SA, Topham NS. Improved operative efficiency of free fibula flap mandible reconstruction with patient-specific, computer-guided preoperative planning. Head Neck 2015;37:1660-1664.

LinkOut - more resources