title: Using computer simulation and stereomodel for accurate mandibular reconstruction with vascularized iliac crest flap.
abstract: OBJECTIVE
  The aim of this study was to examine our patients who underwent accurate mandibular reconstruction with vascularized iliac crest flap using computer simulation and stereomodel and assess the postoperative results.
  
  
  METHODS
  Fourteen patients were reviewed in this study. Bilateral iliac crests were automatically superimposed on the mandibular defects to select the optimal matching donor region in computer simulation. Operation was performed using stereomodels to replicate the preoperative planning. Actual reconstruction result was compared with computer simulation. The patients were asked to assess their satisfaction with facial appearance at 1 year after surgery.
  
  
  RESULTS
  Bony unions and good occlusion were observed, and actual results were basically in accordance with computer simulation in 14 patients. Fourteen patients reported their facial appearance to be excellent or good at 1 year after surgery.
  
  
  CONCLUSIONS
  Accurate mandibular reconstruction with vascularized iliac crest flap using computer simulation and stereomodel may achieve the ideal contour of neomandible and good function after dental rehabilitation.
authors: Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors: Yi
authors: Y
authors: Shen
authors: Jian
authors: J
authors: Sun
authors: Jun
authors: J
authors: Li
authors: Tong
authors: T
authors: Ji
authors: Mei-mei
authors: MM
authors: Li
authors: Wei
authors: W
authors: Huang
authors: Mei
authors: M
authors: Hu
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D003198:Computer Simulation; D005260:Female; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000601:surgery; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D008953:Models, Anatomic; D011859:Radiography; D019651:Plastic Surgery Procedures; D025321:Surgery, Computer-Assisted; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome; D055815:Young Adult