title: Total autogenous mandibular reconstruction using virtual surgical planning.
abstract: Free fibula transfer has become the workhorse in mandibular reconstruction. Total mandibular reconstruction is an uncommon procedure with added complexity. Numerous techniques have been described for such reconstruction, many requiring a temporomandibular joint prosthesis. We present a novel method where simultaneous bilateral free fibula transfer utilizing preoperative virtual surgical planning was used to produce a total autogenous reconstruction. The virtual surgical planning allows to effectively quantify the bone stock required preoperatively and facilitates intraoperative modeling of the fibula. Therefore, a more anatomically correct reconstruction is obtained resulting in improved functional and aesthetic outcomes.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Tulane University, New Orleans, Louisiana.
authors.forename: Ryan
authors.initials: R
authors.lastname: Winters
authors.forename: Adam
authors.initials: A
authors.lastname: Saad
authors.forename: Donald David
authors.initials: DD
authors.lastname: Beahm
authors.forename: Matthew Whitten
authors.initials: MW
authors.lastname: Wise
authors.forename: Hugo
authors.initials: H
authors.lastname: St Hilaire
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001860:Bone Plates; D020878:Device Removal; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D006931:Hyperbaric Oxygenation; D063175:Mandibular Reconstruction / Q000379:methods*; D008875:Middle Aged; D016059:Range of Motion, Articular; D013530:Surgical Wound Infection / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents