Novel Plate Design to Improve Mandibular and Maxillary Reconstruction with the Osteocutaneous Fibula Flap

Miller H. Smith, DDS, MD; Christiaan H. Schrag, MD; Shamir P. Chandarana, MSc, MD; J. Graham Cobb, MSc, DDS, MD; T. Wayne Matthews, MD; C. David Mckenzie, MD; Jennifer L Matthews, MSc, MD

doi:10.1097/GOX.0000000000002094

Plastic and Reconstructive Surgery, Global Open (Jan 2019)

Novel Plate Design to Improve Mandibular and Maxillary Reconstruction with the Osteocutaneous Fibula Flap

Miller H. Smith, DDS, MD,
Christiaan H. Schrag, MD,
Shamir P. Chandarana, MSc, MD,
J. Graham Cobb, MSc, DDS, MD,
T. Wayne Matthews, MD,
C. David Mckenzie, MD,
Jennifer L Matthews, MSc, MD

Affiliations

Miller H. Smith, DDS, MD: From the *Section of Oral Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada
Christiaan H. Schrag, MD: †Section of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada
Shamir P. Chandarana, MSc, MD: ‡Section of Otolaryngology, Department of Surgery, University of Calgary, Calgary, AB, Canada.
J. Graham Cobb, MSc, DDS, MD: From the *Section of Oral Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada
T. Wayne Matthews, MD: ‡Section of Otolaryngology, Department of Surgery, University of Calgary, Calgary, AB, Canada.
C. David Mckenzie, MD: †Section of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada
Jennifer L Matthews, MSc, MD: †Section of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada

DOI: https://doi.org/10.1097/GOX.0000000000002094
Journal volume & issue: Vol. 7, no. 1
p. e2094

Abstract

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Summary:. Virtual surgical planning (VSP) has improved the accuracy and efficiency of craniofacial reconstruction using the osteocutaneous free fibula flap. Despite this, challenges remain in translating the VSP to a real-world construct due to small changes that can occur after osteotomies of the mandible or maxilla. Poor execution of the VSP can lead to malocclusion, undesirable aesthetics, or poor bony contact at the sites of osteosynthesis. We describe a novel technique using Selective LASER Melted plates to achieve maximum control and accuracy of complex, virtually planned reconstructions of the mandible and maxilla.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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