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. 2021 Jun 10;9(6):e3618.
doi: 10.1097/GOX.0000000000003618. eCollection 2021 Jun.

Three-dimensional Printing Technology for Deep Circumflex Iliac Artery Flap: From Recipient to Donor Sites

Wang-Yong Zhu  1 , Wing Shan Choi  1 , Yu-Xiong Su  1
Affiliations

Three-dimensional Printing Technology for Deep Circumflex Iliac Artery Flap: From Recipient to Donor Sites

Wang-Yong Zhu et al. Plast Reconstr Surg Glob Open. .

Abstract

The deep circumflex iliac artery (DCIA) flap is one of the most commonly used vascularized free flaps for jaw reconstruction; however, its clinical application is limited by donor site complications. We aimed to describe a new technique of using 3-dimensionally (3D) printed patient-specific devices for mandibular reconstruction with DCIA flap and simultaneous dental implants, and for donor site restoration after harvesting the DCIA flap. One patient with mandible ameloblastoma underwent mandibular reconstruction using a DCIA flap with the "jaw-in-a-day" approach. The 3D-printed patient-specific devices included mandibular cutting guides, DCIA harvesting and dental implant guide, surgical plate, and iliac prosthesis. The postoperative 1-month accuracy measurement showed the mean distance deviations of the mandible, transferred bone grafts, dental implants and iliac prosthesis were 1.8 mm, 2.1 mm, 0.9 mm, and 1.2 mm, respectively. Three-dimensionally printed iliac prosthesis satisfactorily restored the contour of the iliac crest after DCIA flap harvesting. No complication of donor site was recorded during the follow-up of 12 months. We successfully used 3D-printed patient-specific implants in both donor and recipient sites for DCIA flap jaw reconstruction. Further studies with a larger sample size and long-term follow-up are needed.

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Figures

Fig. 1.
Fig. 1.
The virtual design of patient-specific devices, including mandibular cutting guides (top left), DCIA harvesting and dental implant guide (top right), surgical plate (bottom left), and iliac prosthesis (bottom right).
Fig. 2.
Fig. 2.
The 3D-printed patient-specific devices.
Fig. 3.
Fig. 3.
Postoperative panoramic x-ray of the reconstructed mandible.
Fig. 4.
Fig. 4.
Postoperative CT of iliac restoration.
See this image and copyright information in PMC

References

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