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

被引：20
作者：
Blanc, Jacques [1 ]
Fuchsmann, Carine [1 ]
Nistiriuc-Muntean, Veronica [2 ]
Jacquenot, Pierre [3 ]
Philouze, Pierre [1 ]
Ceruse, Philippe [1 ,4 ]
机构：
[1] Hosp Grp Lyon, Hosp Civils Lyon, Serv ORL & Chirurg Cervicofaciale, Croix Rousse Hosp,Dept Otolaryngol Head & Neck Su, 103 Grande Rue Croix Rousse, F-69004 Lyon, France
[2] Hosp Grp Lyon, Hosp Civils Lyon, Dept Radiol, Lyon Sud Hosp, 165 Chemin Grand Revoyet, F-69310 Pierre Benite, France
[3] Hosp Grp Lyon, Hosp Civils Lyon, Dept Anesthesiol & Resuscitat, Croix Rousse Hosp, 103 Grande Rue Croix Rousse, F-69004 Lyon, France
[4] Claude Bernard Univ, Lyon 1, France
来源：
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY | 2019年 / 276卷 / 12期
关键词：
Mandibular defect; Fibula flap; Reconstruction; Virtual planning; Pre-bent plate; GUIDED SURGERY; HEAD; ACCURACY; IMPLANTS; OUTCOMES;
D O I：
10.1007/s00405-019-05625-z
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Purpose The purpose of this study was to evaluate the accuracy of virtual planning using customized surgical devices (VP3D) in fibula free flap mandibular reconstruction. Methods 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. Results 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). Conclusion Virtual surgical planning using customized devices enables 'tailored' surgery that is accurate and reliable and results in operative and ischemia time gain.
引用
收藏
页码：3477 / 3486
页数：10
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