Assessment of Virtual Surgical Planning by Using 3D Modelling and Patient Specific Pre-Bent Plate for Mandibular Reconstruction: A Clinical Trial

Document Type : Original Article

Authors

The Department of Plastic, Burn and Maxillofacial Surgery, Ain Shams University

Abstract

Background: Vascularized bone flaps are now considered
the benchmark for reconstructing the mandible. In recent
years, virtual surgical planning has transformed the process of
bone reconstruction. The procedure nowadays has far better
outcomes in both functional and aesthetic aspects. Moreover,
the operating times has significantly decreased with the continuous
development of new advances. In addition, learning
curve for surgeons has become less steep.
Aim and Objectives: To compare mandibular reconstruction
by free vascularized fibula using 3D models and Patient
specific plate (pre bent by a manufacturer) with conventional
free hand reconstruction method in our practice.
Patients and Methods: This aim was achieved by comparing
two groups of patients operated by the same surgeon.
In group A virtual planning was used. On the other hand, a
conventional free hand technique was used in group B. The
2 groups were compared regarding the operative time and the
accuracy of reconstruction using radiological landmarks and
measurements.
Results: Our results showed a statistically significant reduction
in operative time in Group A when compared to group < br />B. Moreover, there was a non-statistically significant improvement
regarding accuracy of the reconstruction in group A.
Conclusion: The Use of Virtual Surgical Planning & Patient
Specific Plate (pre bent) for mandibular reconstruction
can reduce the operative time and improve the accuracy of reconstruction.

Keywords

Main Subjects

References

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