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Mandible Reconstruction with 3D Virtual Planning

Authors
 Taeyong Woo  ;  Joep Kraeima  ;  Yong Oock Kim  ;  Young Seok Kim  ;  Tai Suk Roh  ;  Dae Hyun Lew  ;  In Sik Yun 
Citation
 Journal of International Society for Simulation Surgery, Vol.2(2) : 90-93, 2015 
Journal Title
 Journal of International Society for Simulation Surgery 
ISSN
 2383-5389 
Issue Date
2015
Keywords
Mandibular reconstruction ; Fibular free flap ; 3D image ; 3D printing ; Simulation surgery
Abstract
The fibula free flap has now become the most reliable and frequently used option for mandible reconstruction. Recently, three dimensional images and printing technologies are applied to mandibular reconstruction. We introduce our recent experience of mandibular reconstruction using three dimensionally planned fibula free flap in a patient with gunshot injury. The defect was virtually reconstructed with three-dimensional image. Because bone fragments are dislocated from original position, relocation was necessary. Fragments are virtually relocated to original position using mirror image of unaffected right side of the mandible. A medical rapid prototyping (MRP) model and cutting guide was made with 3D printer. Titanium reconstruction plate was adapted to the MRP model manually. 7 cm-sized fibula bone flap was designed on left lower leg. After dissection, proximal and distal margin of fibula flap was osteotomized by using three dimensional cutting guide. Segmentation was also done as planned. The fibula bone flap was attached to the inner side of the prebent reconstruction plate and fixed with screws. Postoperative evaluation was done by comparison between preoperative planning and surgical outcome. Although dislocated condyle is still not in ideal position, we can see that reconstruction was done as planned.
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DOI
10.18204/JISSiS.2015.2.2.090
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
김영석(Kim, Young Seok) ORCID logo https://orcid.org/0000-0002-0981-2107
김용욱(Kim, Yong Oock) ORCID logo https://orcid.org/0000-0002-3756-4809
노태석(Roh, Tai Suk) ORCID logo https://orcid.org/0000-0001-8681-159X
우태용(Woo, Tae Yong)
유대현(Lew, Dae Hyun)
윤인식(Yun, In Sik) ORCID logo https://orcid.org/0000-0003-1103-7047
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/157369
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