Pre-operative planning for mandibular reconstruction - A full digital planning workflow resulting in a patient specific reconstruction
Identifieur interne : 004067 ( Main/Exploration ); précédent : 004066; suivant : 004068Pre-operative planning for mandibular reconstruction - A full digital planning workflow resulting in a patient specific reconstruction
Auteurs : Harald Essig [Allemagne] ; Majeed Rana [Allemagne] ; Horst Kokemueller [Allemagne] ; Constantin Von See [Allemagne] ; Martin Ruecker [Allemagne] ; Frank Tavassol [Allemagne] ; Nils-Claudius Gellrich [Allemagne]Source :
- Head & Neck Oncology [ 1758-3284 ] ; 2011.
Abstract
Reconstruction of large mandiblular defects following ablative oncologic surgery could be done by using vascularized bone transfer or, more often, primarily with simultaneous or delayed bone grafting, using load bearing reconstruction plates. Bending of these reconstruction plates is typically directed along the outer contour of the original mandible. Simultaneously or in a second operation vascularized or non-vascularized bone is fixed to the reconstruction plate. However, the prosthodontic-driven backward planning to ease bony reconstruction of the mandible in terms of dental rehabilitation using implant-retained overdentures might be an eligible solution. The purpose of this work was to develop, establish and clinically evaluate a novel 3D planning procedure for mandibular reconstruction.
Three patients with tumors involving the mandible, which included squamous cell carcinoma in the floor of the mouth and keratocystic odontogenic tumor, were treated surgically by hemimandibulectomy.
In primary alloplastic mandible reconstruction, shape and size of the reconstruction plate could be predefined and prebent prior to surgery.
This study provides modern treatment strategies for mandibular reconstruction.
Url:
DOI: 10.1186/1758-3284-3-45
PubMed: 21968330
PubMed Central: 3195208
Affiliations:
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Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Rana, Majeed" sort="Rana, Majeed" uniqKey="Rana M" first="Majeed" last="Rana">Majeed Rana</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Kokemueller, Horst" sort="Kokemueller, Horst" uniqKey="Kokemueller H" first="Horst" last="Kokemueller">Horst Kokemueller</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, 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last="Ruecker">Martin Ruecker</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Tavassol, Frank" sort="Tavassol, Frank" uniqKey="Tavassol F" first="Frank" last="Tavassol">Frank Tavassol</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author><author><name sortKey="Gellrich, Nils Claudius" sort="Gellrich, Nils Claudius" uniqKey="Gellrich N" first="Nils-Claudius" last="Gellrich">Nils-Claudius Gellrich</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Oral and Maxillofacial Surgery, Hannover Medical School, Hannover</wicri:regionArea><placeName><region type="land" nuts="2">Basse-Saxe</region><settlement type="city">Hanovre</settlement></placeName></affiliation></author></analytic><series><title level="j">Head & Neck Oncology</title><idno type="eISSN">1758-3284</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>Reconstruction of large mandiblular defects following ablative oncologic surgery could be done by using vascularized bone transfer or, more often, primarily with simultaneous or delayed bone grafting, using load bearing reconstruction plates. Bending of these reconstruction plates is typically directed along the outer contour of the original mandible. Simultaneously or in a second operation vascularized or non-vascularized bone is fixed to the reconstruction plate. However, the prosthodontic-driven backward planning to ease bony reconstruction of the mandible in terms of dental rehabilitation using implant-retained overdentures might be an eligible solution. The purpose of this work was to develop, establish and clinically evaluate a novel 3D planning procedure for mandibular reconstruction.</p></sec><sec><title>Materials and methods</title><p>Three patients with tumors involving the mandible, which included squamous cell carcinoma in the floor of the mouth and keratocystic odontogenic tumor, were treated surgically by hemimandibulectomy.</p></sec><sec><title>Results</title><p>In primary alloplastic mandible reconstruction, shape and size of the reconstruction plate could be predefined and prebent prior to surgery.</p></sec><sec><title>Clinical relevance</title><p>This study provides modern treatment strategies for mandibular reconstruction.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mooren, Re" uniqKey="Mooren R">RE Mooren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bak, M" uniqKey="Bak M">M Bak</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kovacs, Af" uniqKey="Kovacs A">AF Kovacs</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schoen, Pj" uniqKey="Schoen P">PJ Schoen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miles, Ba" uniqKey="Miles B">BA Miles</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yilmaz, M" uniqKey="Yilmaz M">M Yilmaz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Iizuka, T" uniqKey="Iizuka T">T Iizuka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schusterman, Ma" uniqKey="Schusterman M">MA Schusterman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hidalgo, Da" uniqKey="Hidalgo D">DA Hidalgo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Urken, Ml" uniqKey="Urken M">ML Urken</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sullivan, Mj" uniqKey="Sullivan M">MJ Sullivan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schliephake, H" uniqKey="Schliephake H">H Schliephake</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Foster, Rd" uniqKey="Foster R">RD Foster</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goh, Bt" uniqKey="Goh B">BT Goh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, A" uniqKey="Cohen A">A Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eckardt, A" uniqKey="Eckardt A">A Eckardt</name></author><author><name sortKey="Swennen, Gr" uniqKey="Swennen G">GR Swennen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Juergens, P" uniqKey="Juergens P">P Juergens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roser, Sm" uniqKey="Roser S">SM Roser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buchbinder, D" uniqKey="Buchbinder D">D Buchbinder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krol, Z" uniqKey="Krol Z">Z Krol</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Derand, P" uniqKey="Derand P">P Derand</name></author><author><name sortKey="Hirsch, Jm" uniqKey="Hirsch J">JM Hirsch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Klug, C" uniqKey="Klug C">C Klug</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schicho, K" uniqKey="Schicho K">K Schicho</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Basse-Saxe</li></region><settlement><li>Hanovre</li></settlement></list><tree><country name="Allemagne"><region name="Basse-Saxe"><name sortKey="Essig, Harald" sort="Essig, Harald" uniqKey="Essig H" first="Harald" last="Essig">Harald Essig</name></region><name sortKey="Gellrich, Nils Claudius" sort="Gellrich, Nils Claudius" uniqKey="Gellrich N" first="Nils-Claudius" last="Gellrich">Nils-Claudius Gellrich</name><name sortKey="Kokemueller, Horst" sort="Kokemueller, Horst" uniqKey="Kokemueller H" first="Horst" last="Kokemueller">Horst Kokemueller</name><name sortKey="Rana, Majeed" sort="Rana, Majeed" uniqKey="Rana M" first="Majeed" last="Rana">Majeed Rana</name><name sortKey="Ruecker, Martin" sort="Ruecker, Martin" uniqKey="Ruecker M" first="Martin" last="Ruecker">Martin Ruecker</name><name sortKey="Tavassol, Frank" sort="Tavassol, Frank" uniqKey="Tavassol F" first="Frank" last="Tavassol">Frank Tavassol</name><name sortKey="Von See, Constantin" sort="Von See, Constantin" uniqKey="Von See C" first="Constantin" last="Von See">Constantin Von See</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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