Restricted accessCase reportFirst published online 2016-9
Mandibular Reconstruction Using a Custom-Made Titanium Prosthesis: A Case Report on the Use of Virtual Surgical Planning and Computer-Aided Design/Computer-Aided Manufacturing
The use of virtual surgical planning and computer-aided design/computer-aided manufacturing has been reported to enhance the planning for the reconstruction of mandibular continuity defects. This case report illustrates the use of this technology in the fabrication of a custom-made titanium prosthesis to restore a segmental mandibular defect. The design specifications and sequence of the custom-made titanium prosthesis are discussed. Although successful in this case, there are limitations in its application and case selection is of vital importance.
DisaJJCordeiroPGMandible reconstruction with microvascular surgerySemin Surg Oncol2000193226–234
2.
MertensCDeckerCEngelMSanderAHoffmannJFreierKEarly bone resorption of free microvascular reanastomized bone grafts for mandibular reconstruction–a comparison of iliac crest and fibula graftsJ Craniomaxillofac Surg2014425e217–e223
3.
HandschelJHassanyarHDepprichRA, et al. Nonvascularized iliac bone grafts for mandibular reconstruction–requirements and limitationsIn Vivo2011255795–799
4.
MageshDPKumaraveluCMaheshwariGUEfficacy of PRP in the reconstruction of mandibular segmental defects using iliac bone graftsJ Maxillofac Oral Surg2013122160–167
TidemanHSammanNCheungLKFunctional reconstruction of the mandible: a modified titanium mesh systemInt J Oral Maxillofac Surg1998275339–345
7.
HeYZhuHGZhangZYHeJSaderRThree-dimensional model simulation and reconstruction of composite total maxillectomy defects with fibula osteomyocutaneous flap flow-through from radial forearm flapOral Surg Oral Med Oral Pathol Oral Radiol Endod20091086e6–e12
8.
HouJSChenMPanCB, et al. Immediate reconstruction of bilateral mandible defects: management based on computer-aided design/computer-aided manufacturing rapid prototyping technology in combination with vascularized fibular osteomyocutaneous flapJ Oral Maxillofac Surg20116961792–1797
9.
LethausBPoortLBöckmannRSmeetsRTolbaRKesslerPAdditive manufacturing for microvascular reconstruction of the mandible in 20 patientsJ Craniomaxillofac Surg201240143–46
10.
ModabberALegrosCRanaMGerressenMRiedigerDGhassemiAEvaluation of computer-assisted jaw reconstruction with free vascularized fibular flap compared to conventional surgery: a clinical pilot studyInt J Med Robot201282215–220
11.
RodbyKATurinSJacobsRJ, et al. Advances in oncologic head and neck reconstruction: systematic review and future considerations of virtual surgical planning and computer aided design/computer aided modelingJ Plast Reconstr Aesthet Surg20146791171–1185
12.
CioccaLMazzoniSFantiniM, et al. A CAD/CAM-prototyped anatomical condylar prosthesis connected to a custom-made bone plate to support a fibula free flapMed Biol Eng Comput2012507743–749
13.
ShenYSunJLiJ, et al. Using computer simulation and stereomodel for accurate mandibular reconstruction with vascularized iliac crest flapOral Surg Oral Med Oral Pathol Oral Radiol20121142175–182
14.
MetzlerPGeigerEJAlconAMaXSteinbacherDMThree-dimensional virtual surgery accuracy for free fibula mandibular reconstruction: planned versus actual resultsJ Oral Maxillofac Surg201472122601–2612
15.
ZhouLBShangHTHeLS, et al. Accurate reconstruction of discontinuous mandible using a reverse engineering/computer-aided design/rapid prototyping technique: a preliminary clinical studyJ Oral Maxillofac Surg20106892115–2121
