비골을 이용한 3차원적 하악골 재건 시 가상모의수술 및 입체조형기법을 이용한 골절단 가이드의 활용: 증례보고
Virtual Surgical Planning and Stereolithography-guided Osteotomy for 3 Dimensional Mandibular Reconstruction with Free Fibula Osseous Flaps: A Case Report
남웅, Makhoul Nicholas, Ward Brent, Helman Joseph I., Edwards Sean,
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남웅 ( Nam Woong ) - 연세대학교 치과대학 구강악안면외과학교실
( Makhoul Nicholas ) - 미시건대학교 치과대학 구강악안면외과학교실
( Ward Brent ) - 미시건대학교 치과대학 구강악안면외과학교실
( Helman Joseph I. ) - 미시건대학교 치과대학 구강악안면외과학교실
( Edwards Sean ) - 미시건대학교 치과대학 구강악안면외과학교실
KMID : 0360120120340050337
Abstract
The osseous or osteocutaneous free fibula flap has become the gold standard for most mandibular reconstructions because of its favorable osseous characteristics. However, disadvantages, such as the time-consuming reconstructive step, difficulty in performing the osteotomies to precisely recreate the shape of the missing segment of mandible and poor bone-to-bone contact play a role in making the surgeons look for alternative flaps. With the advent of computerized design software, which accurately plans complex 3-dimensional reconstructions, has become a process that is more efficient and precise. However, the ability to transfer the computerized plan into the surgical field with stereolithographic models and guides has been a significant development in advancing reconstruction in the maxillofacial regions. The ability to "pre-plan" the case, mirror and superimpose natural structures into diseased and deformed areas, as well as the ability to reproduce these plans with good surgical precision has decreased overall operative time, and has helped facilitate functional and esthetic reconstruction. We describe a complex case treated with this technique, showing the power and elegance of computer assisted maxillofacial reconstruction from the University of Michigan, Oral and Maxillofacial Surgery.
키워드
Virtual surgical planning;Stereolithography;Fibula
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