Evaluation of virtual surgical planning systems and customized devices in fibula free flap mandibular reconstruction

Archives of oto-rhino-laryngology - Tập 276 - Trang 3477-3486 - 2019
Jacques Blanc1, Carine Fuchsmann1, Veronica Nistiriuc-Muntean2, Pierre Jacquenot3, Pierre Philouze1, Philippe Ceruse1,4
1Department of Otolaryngology-Head and Neck Surgery, Croix Rousse Hospital, Service d’ORL et chirurgie cervico-faciale, Hospices Civils de Lyon (Hospital Group of Lyon), Lyon, France
2Department of Radiology, Lyon Sud Hospital, Hospices Civils de Lyon (Hospital Group of Lyon), Pierre-Bénite, France
3Department of Anesthesiology and Resuscitation, Croix Rousse Hospital, Hospices Civils de Lyon (Hospital Group of Lyon), Lyon, France
4Claude Bernard University Lyon 1, France

Tóm tắt

The purpose of this study was to evaluate the accuracy of virtual planning using customized surgical devices (VP3D) in fibula free flap mandibular reconstruction. Fourteen patients received VP3D and 16 patients underwent conventional surgery (CS). Virtual planning was compared to postoperative scans using cephalometric and three-dimensional (3D) measurements. Operative times of both VP3D and CS groups were compared. Comparisons of cephalometric measurements revealed no significant difference between virtual planning and postoperative scans. 3D analysis demonstrated a high level of virtual planning accuracy. In the VP3D group, total operative time gain was 88 min (p < 0.001) and total ischemia time gain was 36 min (p = 0.04). Virtual surgical planning using customized devices enables ‘tailored’ surgery that is accurate and reliable and results in operative and ischemia time gain. NCT03869723.

Tài liệu tham khảo

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