Mandibular reconstructions using computer-aided design/computer-aided manufacturing: A systematic review of a defect-based reconstructive algorithm.
Modern planning techniques, including computer-aided design/computer-aided manufacturing (CAD-CAM) can be used to plan reconstructive surgery, optimising aesthetic outcomes and functional rehabilitation. However, although many such applications are available, no systematic protocol yet describes the entire reconstructive procedure, which must include virtual planning, custom manufacture, and a reconstructive algorithm. We reviewed current practices in this novel field, analysed case series described in the literature, and developed a new, defect-based reconstructive algorithm. We also evaluated methods of mandibular reconstruction featuring virtual planning, the use of surgical guides, and laser printing of custom titanium bony plates to support composite free flaps, and evaluated their utility.
Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Department of Biomedical and Neuromotor Sciences (Head Prof. C. Marchetti), Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy. Electronic address: achille.tarsitano2@unibo.it.
Achille
A
Tarsitano
Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Department of Biomedical and Neuromotor Sciences (Head Prof. C. Marchetti), Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.
Giacomo
G
Del Corso
Section of Prosthodontics, Department of Biomedical and Neuromotor Sciences (Head Prof. R. Scotti), Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.
Leonardo
L
Ciocca
Section of Prosthodontics, Department of Biomedical and Neuromotor Sciences (Head Prof. R. Scotti), Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.
Roberto
R
Scotti
Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Department of Biomedical and Neuromotor Sciences (Head Prof. C. Marchetti), Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.
Claudio
C
Marchetti
D000465:Algorithms; D017076:Computer-Aided Design; D004954:Esthetics; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D063175:Mandibular Reconstruction / Q000145:classification* / Q000379:methods*
Classification; Computer-aided design; Computer-aided manufacturing; Mandible; Reconstructive algorithm