Application of Intraoperative Navigation for the Reconstruction of Mandibular Defects With Microvascular Fibular Flaps-Preliminary Clinical Experiences
Application of Intraoperative Navigation for the Reconstruction of Mandibular Defects With Microvascular Fibular Flaps-Preliminary Clinical Experiences
复制标题
DOI：
10.1097/scs.0000000000002430
复制
发表时间：
2016-05-01
影响因子：
0.9
通讯作者：
Long, Jie
中科院分区：
文献类型：
--
作者：
Li, Peng;Xuan, Ming;Long, Jie
背景：微血管腓骨瓣是下颌骨缺损重建的主要选择。本文介绍了一种精确制作腓骨皮瓣的创新策略。方法：本研究纳入了 9 名下颌肿瘤患者。使用 MIMICS 10.01 进行下颌重建计划。制作了一块重建板。手术期间，使用 BrainLab 导航系统制作并植入腓骨瓣。术后6至12个月，获取计算机断层扫描数据并与术前计划进行比较。结果：分别使用导航和截骨模板轻松进行腓骨瓣和下颌骨的截骨。预制板准确地确定了襟翼的位置。通过3D分析，治疗结果与术前计划一致。结论：术中导航与预制钢板技术的结合在微血管腓骨瓣重建下颌骨中具有巨大的实用价值。
Background: A microvascular fibular flap is the main option for the reconstruction of mandibular defects. This paper introduces an innovative strategy for the accurate fabrication of fibular flaps.Methods: Nine patients with mandibular tumors were included in this study. The mandibular reconstruction planning was performed using MIMICS 10.01. One reconstruction plate was preformed. During the operation, the fibular flap was fabricated and implanted using the BrainLab navigation system. Six to 12 months after surgery, computed tomography data were acquired and compared with preoperative planning.Results: The osteotomy of the fibular flap and the mandible was easily performed, using the navigation and the osteotomy template respectively. The preformed plate accurately determined the position of the flap. The treatment outcome was consistent with the preoperative planning using 3D analysis.Conclusions: Combination of the intraoperative navigation and preformed plate technique demonstrated great practical value in mandibular reconstruction with microvascular fibular flaps.