Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Oral and Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, China.
Int J Oral Maxillofac Surg. 2020 Aug;49(8):1016-1019. doi: 10.1016/j.ijom.2019.12.006. Epub 2019 Dec 28.
Segmental mandibular defects require reconstruction. The fibula flap serves as a versatile flap in restoring mandibular contour and bony height. With the advances in computer-aided design and additive manufacturing technology, an innovative "one-piece" patient-specific reconstruction plate to facilitate double-barrel fibula flap shaping and bone securing was developed; the plate is described in this study. The "one-piece" plate is fabricated with individualized specifications and is mainly composed of three components: the long-bar reconstruction plate, a short-bar plate, and connecting bars. Our initial experiences showed that mandibular reconstructive surgery was greatly facilitated by the "one-piece" reconstruction plate for double-barrel fibula flap reconstruction and achieved satisfactory outcomes. A well-designed clinical trial is required to confirm the superiority of the "one-piece" reconstruction plate in the future. ClinicalTrials.gov registration: NCT03057223.
节段性下颌骨缺损需要重建。腓骨瓣是一种多功能的皮瓣，可用于恢复下颌骨的轮廓和骨高度。随着计算机辅助设计和增材制造技术的进步，开发了一种创新的“一体式”个体化重建板，以方便双套管腓骨瓣的塑形和固定；本研究对该重建板进行了介绍。“一体式”重建板是根据个体化规格制造的，主要由三个部分组成：长重建板、短重建板和连接棒。我们的初步经验表明，“一体式”重建板在双套管腓骨瓣重建中极大地促进了下颌骨重建手术的进行，并取得了满意的效果。未来需要进行精心设计的临床试验来证实“一体式”重建板的优越性。ClinicalTrials.gov 注册号：NCT03057223。
