title: Maxillary reconstruction using a multi-element free fibula flap based on a three-dimensional polyacrylic resin model.
abstract: Preoperative preparation of working models of the skull and free bone flaps using the digital print technology and photocured polyacrylic resins may be of a great benefit to the patient, for whom a virtual resection and reconstruction procedure may be planned in detail and performed. The purpose of mid-facial reconstruction using 3D models is to plan a functional mid-facial reconstruction procedure in order to restore supportive function of intraorbital structures and to make placement of dental implants and further prosthetic rehabilitation possible.Maxillary and mid-facial reconstruction using a free fibula flap based on a three-dimensional working model was performed in a patient diagnosed with a squamous cell carcinoma of the left maxillary sinus penetrating to the orbit, the ethmoid complex, and the pterygopalatine fossa. The use of three-dimensional polyacrylic models allowed for detailed preoperative planning and a virtual resection and reconstruction procedure with a highly satisfying functional and cosmetic effect.A procedure based on methods discussed here may be significantly shorter and more precise.
authors.affiliation: Department of Oncological and Reconstructive Surgery, Cancer Center IMSC, Gliwice.
authors.forename: Piotr
authors.initials: P
authors.lastname: Jędrzejewski
authors.forename: Adam
authors.initials: A
authors.lastname: Maciejewski
authors.forename: Cezary
authors.initials: C
authors.lastname: Szymczyk
authors.forename: Janusz
authors.initials: J
authors.lastname: Wierzgoń
mesh_terms: D016025:Bone Transplantation / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000601:surgery*; D005360:Fibula; D058752:Free Tissue Flaps; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D008437:Maxilla / Q000473:pathology / Q000601:surgery; D008444:Maxillary Sinus Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D008875:Middle Aged; D003765:Models, Dental; D011300:Preoperative Care