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Accuracy of Fibula Reconstruction Using Patient‐Specific Cad/Cam Plates: A Multicenter Study on 47 Patients
Author(s) -
Zavattero Emanuele,
Bolzoni Alessandro,
Dell'Aversana Giovanni,
Santagata Mario,
Massarelli Olindo,
Ferri Andrea,
Della Monaca Marco,
Copelli Chiara,
Gessaroli Manlio,
Valsecchi Stefano,
Borbon Claudia,
Beltramini Giada Anna,
Ramieri Guglielmo,
Valentini Valentino,
Tartaro Gian Paolo,
Cocchi Roberto,
Varazzani Andrea,
Califano Luigi,
Baj Alessandro
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29379
Subject(s) - fibula , medicine , surgical planning , mandible (arthropod mouthpart) , orthodontics , surgery , tibia , botany , biology , genus
Objectives This prospective study evaluated the accuracy of mandibular reconstruction using free fibular flaps (by comparing virtual plans to the three‐dimensional postoperative results), and the extent of bone‐to‐bone contact after computer‐assisted surgery. Methods We included 65 patients who underwent partial‐continuity mandibular resections from February 2013 to January 2017, and evaluated virtual planning, surgical techniques, and accuracy. Results Forty‐seven patients were analysed. A total of 112 fibular segments received 54 implants. We measured 227 distances between landmarks to assess the accuracy of reconstruction. Postoperative reconstruction accuracy ranged from 0.5 to 3 mm. Conclusion Virtual surgical planning very accurately translated simulation into reality, particularly in patients requiring large, complex mandibular reconstructions using multiple fibular segments. Level of evidence 4 Laryngoscope , 131:E2169–E2175, 2021