title: A computer-based comparative quantitative analysis of surgical outcome of mandibular reconstructions with free fibula microvascular flaps.
abstract: The free fibula osteoseptocutaneous flap is the standard for reconstruction of extensive mandibular defects. The procedure must be precise to achieve the required functional and aesthetic results. The aim of the present study was to calculate retrospectively the exact differences in surgical outcome based on preoperative and postoperative Computed Tomography data sets. Ten patients with unilateral reconstructions of the mandible with a fibula based on conventional planning were analyzed quantitatively, applying mirroring techniques with direct comparison of the theoretically optimum with the actual reconstruction. The results showed that there is a significant discrepancy between what is actually achieved and the theoretical optimum. The result of the present retrospective analysis shows that there is room for further improvement of the outcome in complex mandible reconstruction cases.
authors.affiliation: Department of Cranio-Maxillofacial Surgery.
authors.forename: Christoph S
authors.initials: CS
authors.lastname: Leiggener
authors.forename: Zdzislaw
authors.initials: Z
authors.lastname: Krol
authors.forename: Petter
authors.initials: P
authors.lastname: Gawelin
authors.forename: Carlos H
authors.initials: CH
authors.lastname: Buitrago-Téllez
authors.forename: Hans-Florian
authors.initials: HF
authors.lastname: Zeilhofer
authors.forename: Jan-Michaél
authors.initials: JM
authors.lastname: Hirsch
mesh_terms: D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted; D013524:Surgical Flaps / Q000098:blood supply; D014057:Tomography, X-Ray Computed
keywords: Tumour; flaps