title: Application of Intraoperative Navigation for the Reconstruction of Mandibular Defects With Microvascular Fibular Flaps-Preliminary Clinical Experiences.
abstract: BACKGROUND
  A microvascular fibular flap is the main option for the reconstruction of mandibular defects. This paper introduces an innovative strategy for the accurate fabrication of fibular flaps.
  
  
  METHODS
  Nine patients with mandibular tumors were included in this study. The mandibular reconstruction planning was performed using MIMICS 10.01. One reconstruction plate was preformed. During the operation, the fibular flap was fabricated and implanted using the BrainLab navigation system. Six to 12 months after surgery, computed tomography data were acquired and compared with preoperative planning.
  
  
  RESULTS
  The osteotomy of the fibular flap and the mandible was easily performed, using the navigation and the osteotomy template respectively. The preformed plate accurately determined the position of the flap. The treatment outcome was consistent with the preoperative planning using 3D analysis.
  
  
  CONCLUSIONS
  Combination of the intraoperative navigation and preformed plate technique demonstrated great practical value in mandibular reconstruction with microvascular fibular flaps.
authors.affiliation: *Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University †Department of Oral and Maxillofacial Surgery, Sichuan Provincial People's Hospital, Chengdu, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Li
authors.forename: Ming
authors.initials: M
authors.lastname: Xuan
authors.forename: Chuhang
authors.initials: C
authors.lastname: Liao
authors.forename: Wei
authors.initials: W
authors.lastname: Tang
authors.forename: Xiao-Yi
authors.initials: XY
authors.lastname: Wang
authors.forename: Weidong
authors.initials: W
authors.lastname: Tian
authors.forename: Jie
authors.initials: J
authors.lastname: Long
mesh_terms: D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005360:Fibula; D006801:Humans; D008297:Male; D008334:Mandible / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery*; D063175:Mandibular Reconstruction / Q000379:methods*; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods; D061525:Perforator Flap / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed