Culié D, Dassonville O, Poissonnet G, Riss J-C, Fernandez J, Bozec A
Institut universitaire de la face et du cou, centre Antoine-Lacassagne, 31, avenue de Valombrose, 06103 Nice, France.
Institut universitaire de la face et du cou, centre Antoine-Lacassagne, 31, avenue de Valombrose, 06103 Nice, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2016 Jun;133(3):175-8. doi: 10.1016/j.anorl.2016.01.009. Epub 2016 Feb 11.
Virtual planning and guided surgery (VPGS) has been recently developed for mandibular reconstruction, but benefit remains to be assessed. The aim of this study was to analyze the impact of VPGS on operative time and postoperative course.
All patients who underwent fibula free-flap mandibular reconstruction between 2013 and 2014 in our institution were included in a retrospective study. Operative times and postoperative course were compared between patients who underwent conventional surgery in 2013 and those who underwent VPGS in 2014.
A total of 29 patients were included: 11 in 2013 and 18 in 2014. Taking all types of mandibular defect together, ischemia time was significantly decreased by VPGS (75min, vs 150min for conventional surgery; P<0.001), whereas overall operative time was not significantly reduced (481 and 516min, respectively; P=0.4). VPGS had no impact on postoperative course: local or general complications, time to decannulation and nasogastric tube removal, or length of stay.
VPGS significantly reduced fibula free-flap ischemia time. Long-term functional and esthetic benefit remains to be evaluated.
虚拟规划与引导手术（VPGS）最近已被应用于下颌骨重建，但其益处仍有待评估。本研究的目的是分析VPGS对手术时间和术后病程的影响。
对2013年至2014年在本机构接受游离腓骨瓣下颌骨重建的所有患者进行回顾性研究。比较2013年接受传统手术的患者和2014年接受VPGS的患者的手术时间和术后病程。
共纳入29例患者：2013年11例，2014年18例。将所有类型的下颌骨缺损合并计算，VPGS显著缩短了缺血时间（75分钟，传统手术为150分钟；P<0.001），而总体手术时间没有显著减少（分别为481分钟和516分钟；P=0.4）。VPGS对术后病程没有影响：局部或全身并发症、拔管和拔除鼻胃管的时间或住院时间。
VPGS显著缩短了游离腓骨瓣的缺血时间。长期的功能和美学益处仍有待评估。
