Itamura Kyohei, Kupferman Steven, Lee Jay, Mallen-St Clair Jon
Otolaryngology - Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, USA.
Oral and Maxillofacial Surgery, Cedars-Sinai Medical Center, Los Angeles, USA.
Cureus. 2022 Jun 26;14(6):e26336. doi: 10.7759/cureus.26336. eCollection 2022 Jun.
We present a unique case of mandibular reconstruction using virtual surgical planning (VSP) of a post-traumatic mandibular non-union defect for a patient with familial dysautonomia (FD), also known as Riley-Day Syndrome. In this case, the complexity related to perioperative and surgical challenges illustrates the utility of VSP and the importance of multi-disciplinary collaboration in jaw-free flap reconstructive surgery. We highlight our experience with the "Jaw-In-A-Day" approach in conjunction with tailored preoperative planning and perioperative care resulting in successful mandibular free flap reconstruction.
我们介绍了一例独特的病例，该病例为一名患有家族性自主神经功能障碍（FD）（又称莱利-戴综合征）的患者，其创伤后下颌骨骨不连缺损采用虚拟手术规划（VSP）进行下颌骨重建。在该病例中，围手术期和手术挑战的复杂性说明了VSP的实用性以及多学科协作在无牙颌皮瓣重建手术中的重要性。我们重点介绍了我们结合定制的术前规划和围手术期护理采用“一日下颌骨重建”方法成功进行下颌骨游离皮瓣重建的经验。
