Stereomodel-assisted fibula flap harvest and mandibular reconstruction
Identifieur interne : 006B04 ( Main/Exploration ); précédent : 006B03; suivant : 006B05Stereomodel-assisted fibula flap harvest and mandibular reconstruction
Auteurs : Richie W. K. Yeung [Hong Kong] ; Nabil Samman [Hong Kong] ; Lim K. Cheung [Hong Kong] ; CHENPING ZHANG [République populaire de Chine] ; Raymond L. K. Chow [Hong Kong]Source :
- Journal of oral and maxillofacial surgery [ 0278-2391 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent, Adulte d'âge moyen, Conception assistée par ordinateur, Esthétique, Femelle, Fibula (), Fibula (anatomie et histologie), Humains, Mandibule (anatomopathologie), Modèles anatomiques, Mâchoire édentée (anatomopathologie), Mâle, Planification des soins du patient, Plaques orthopédiques, Procédures de chirurgie reconstructive (), Prothèse mandibulaire, Prélèvement d'organes et de tissus (), Résultat thérapeutique, Sujet âgé, Titane, Transplantation osseuse (), Tumeurs de la mandibule ().
- MESH :
- anatomie et histologie : Fibula.
- anatomopathologie : Mandibule, Mâchoire édentée.
- Pascal (Inist)
- Adolescent, Adulte d'âge moyen, Conception assistée par ordinateur, Esthétique, Femelle, Fibula, Humains, Modèles anatomiques, Mâle, Planification des soins du patient, Plaques orthopédiques, Procédures de chirurgie reconstructive, Prothèse mandibulaire, Prélèvement d'organes et de tissus, Reconstruction anatomique, Chirurgie, Péroné, Lambeau, Prélèvement, Mandibule, Résultat thérapeutique, Stomatologie, Sujet âgé, Titane, Traitement, Transplantation osseuse, Tumeurs de la mandibule.
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
- Adolescent, Aged, Anatomical reconstruction, Bone Plates, Bone Transplantation (methods), Computer-Aided Design, Esthetics, Female, Fibula, Fibula (anatomy & histology), Fibula (surgery), Flap (surgery), Humans, Jaw, Edentulous (pathology), Male, Mandible, Mandible (pathology), Mandibular Neoplasms (surgery), Mandibular Prosthesis, Middle Aged, Models, Anatomic, Patient Care Planning, Reconstructive Surgical Procedures (methods), Samplings, Stomatology, Surgery, Tissue and Organ Harvesting (methods), Titanium, Treatment, Treatment Outcome.
- MESH :
- chemical : Titanium.
- anatomy & histology : Fibula.
- methods : Bone Transplantation, Reconstructive Surgical Procedures, Tissue and Organ Harvesting.
- pathology : Jaw, Edentulous, Mandible.
- surgery : Fibula, Mandibular Neoplasms.
- Adolescent, Aged, Bone Plates, Computer-Aided Design, Esthetics, Female, Humans, Male, Mandibular Prosthesis, Middle Aged, Models, Anatomic, Patient Care Planning, Treatment Outcome.
Abstract
Purpose: To describe a method for stereomodel-assisted fibula flap harvest and mandibular reconstruction utilizing multiple fibula bony segments. Materials and Methods: Stereomodels of the mandible and the fibula were obtained from computed tomography scan data. The length of fibula to be harvested was predetermined by measurement of the stimulated of existing mandibular defect on the mandibular stereomodel. A titanium reconstruction plate was shaped to fit the original mandibular contour. The stereomodel fibula was divided into multiple segments and the segments were placed on the mandibular stereomodel in the ideal edentulous position against the upper dentition and simulate the angular contour of the mandible for best comesis. The predetermined bony segments were measured and the system was then transferred to the patient in the operation theater using acrylic locating splints. Results: Experience with 8 patients (2 primary and 2 secondary reconstructions) indicated that a good clinical outcome in terms of mandibular contour and positions of the reconstructed segment was possible. The outer facial appearance and symmetry were consistently excellent and no instability or malposition of the graft segments was encountered. Conclusion: Stereomodel-assisted fibula flap harvest and insertion is a worthwhile attempt at improving the results of mandibular reconstruction and deserves further attention.
Affiliations:
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Le document en format XML
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Yeung</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Samman, Nabil" sort="Samman, Nabil" uniqKey="Samman N" first="Nabil" last="Samman">Nabil Samman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Cheung, Lim K" sort="Cheung, Lim K" uniqKey="Cheung L" first="Lim K." last="Cheung">Lim K. Cheung</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Chenping Zhang" sort="Chenping Zhang" uniqKey="Chenping Zhang" last="Chenping Zhang">CHENPING ZHANG</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Ninth People's Hospital, Medical School of Shanghai, Jiao-Tong University</s1><s2>Shanghai</s2><s3>CHN</s3><sZ>4 aut.</sZ></inist:fA14><country>République populaire de Chine</country><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Chow, Raymond L K" sort="Chow, Raymond L K" uniqKey="Chow R" first="Raymond L. K." last="Chow">Raymond L. 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K." last="Yeung">Richie W. K. Yeung</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Samman, Nabil" sort="Samman, Nabil" uniqKey="Samman N" first="Nabil" last="Samman">Nabil Samman</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Cheung, Lim K" sort="Cheung, Lim K" uniqKey="Cheung L" first="Lim K." last="Cheung">Lim K. Cheung</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author><author><name sortKey="Chenping Zhang" sort="Chenping Zhang" uniqKey="Chenping Zhang" last="Chenping Zhang">CHENPING ZHANG</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Ninth People's Hospital, Medical School of Shanghai, Jiao-Tong University</s1><s2>Shanghai</s2><s3>CHN</s3><sZ>4 aut.</sZ></inist:fA14><country>République populaire de Chine</country><wicri:noRegion>Shanghai</wicri:noRegion></affiliation></author><author><name sortKey="Chow, Raymond L K" sort="Chow, Raymond L K" uniqKey="Chow R" first="Raymond L. K." last="Chow">Raymond L. K. Chow</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</s1><s3>HKG</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Hong Kong</country><wicri:noRegion>Department of Oral and Maxillofacial Surgery, University of Hong Kong, Prince Philip Dental Hospital</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of oral and maxillofacial surgery</title><title level="j" type="abbreviated">J. oral maxillofac. surg.</title><idno type="ISSN">0278-2391</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Aged</term><term>Anatomical reconstruction</term><term>Bone Plates</term><term>Bone Transplantation (methods)</term><term>Computer-Aided Design</term><term>Esthetics</term><term>Female</term><term>Fibula</term><term>Fibula (anatomy & histology)</term><term>Fibula (surgery)</term><term>Flap (surgery)</term><term>Humans</term><term>Jaw, Edentulous (pathology)</term><term>Male</term><term>Mandible</term><term>Mandible (pathology)</term><term>Mandibular Neoplasms (surgery)</term><term>Mandibular Prosthesis</term><term>Middle Aged</term><term>Models, Anatomic</term><term>Patient Care Planning</term><term>Reconstructive Surgical Procedures (methods)</term><term>Samplings</term><term>Stomatology</term><term>Surgery</term><term>Tissue and Organ Harvesting (methods)</term><term>Titanium</term><term>Treatment</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte d'âge moyen</term><term>Conception assistée par ordinateur</term><term>Esthétique</term><term>Femelle</term><term>Fibula ()</term><term>Fibula (anatomie et histologie)</term><term>Humains</term><term>Mandibule (anatomopathologie)</term><term>Modèles anatomiques</term><term>Mâchoire édentée (anatomopathologie)</term><term>Mâle</term><term>Planification des soins du patient</term><term>Plaques orthopédiques</term><term>Procédures de chirurgie reconstructive ()</term><term>Prothèse mandibulaire</term><term>Prélèvement d'organes et de tissus ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Titane</term><term>Transplantation osseuse ()</term><term>Tumeurs de la mandibule ()</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Titanium</term></keywords><keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Fibula</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mandibule</term><term>Mâchoire édentée</term></keywords><keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Fibula</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term><term>Reconstructive Surgical Procedures</term><term>Tissue and Organ Harvesting</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Jaw, Edentulous</term><term>Mandible</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Fibula</term><term>Mandibular Neoplasms</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Aged</term><term>Bone Plates</term><term>Computer-Aided Design</term><term>Esthetics</term><term>Female</term><term>Humans</term><term>Male</term><term>Mandibular Prosthesis</term><term>Middle Aged</term><term>Models, Anatomic</term><term>Patient Care Planning</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adolescent</term><term>Adulte d'âge moyen</term><term>Conception assistée par ordinateur</term><term>Esthétique</term><term>Femelle</term><term>Fibula</term><term>Humains</term><term>Modèles anatomiques</term><term>Mâle</term><term>Planification des soins du patient</term><term>Plaques orthopédiques</term><term>Procédures de chirurgie reconstructive</term><term>Prothèse mandibulaire</term><term>Prélèvement d'organes et de tissus</term><term>Reconstruction anatomique</term><term>Chirurgie</term><term>Péroné</term><term>Lambeau</term><term>Prélèvement</term><term>Mandibule</term><term>Résultat thérapeutique</term><term>Stomatologie</term><term>Sujet âgé</term><term>Titane</term><term>Traitement</term><term>Transplantation osseuse</term><term>Tumeurs de la mandibule</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose: To describe a method for stereomodel-assisted fibula flap harvest and mandibular reconstruction utilizing multiple fibula bony segments. Materials and Methods: Stereomodels of the mandible and the fibula were obtained from computed tomography scan data. The length of fibula to be harvested was predetermined by measurement of the stimulated of existing mandibular defect on the mandibular stereomodel. A titanium reconstruction plate was shaped to fit the original mandibular contour. The stereomodel fibula was divided into multiple segments and the segments were placed on the mandibular stereomodel in the ideal edentulous position against the upper dentition and simulate the angular contour of the mandible for best comesis. The predetermined bony segments were measured and the system was then transferred to the patient in the operation theater using acrylic locating splints. Results: Experience with 8 patients (2 primary and 2 secondary reconstructions) indicated that a good clinical outcome in terms of mandibular contour and positions of the reconstructed segment was possible. The outer facial appearance and symmetry were consistently excellent and no instability or malposition of the graft segments was encountered. Conclusion: Stereomodel-assisted fibula flap harvest and insertion is a worthwhile attempt at improving the results of mandibular reconstruction and deserves further attention.</div></front></TEI><affiliations><list><country><li>Hong Kong</li><li>République populaire de Chine</li></country></list><tree><country name="Hong Kong"><noRegion><name sortKey="Yeung, Richie W K" sort="Yeung, Richie W K" uniqKey="Yeung R" first="Richie W. K." last="Yeung">Richie W. K. Yeung</name></noRegion><name sortKey="Cheung, Lim K" sort="Cheung, Lim K" uniqKey="Cheung L" first="Lim K." last="Cheung">Lim K. Cheung</name><name sortKey="Chow, Raymond L K" sort="Chow, Raymond L K" uniqKey="Chow R" first="Raymond L. K." last="Chow">Raymond L. K. Chow</name><name sortKey="Samman, Nabil" sort="Samman, Nabil" uniqKey="Samman N" first="Nabil" last="Samman">Nabil Samman</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Chenping Zhang" sort="Chenping Zhang" uniqKey="Chenping Zhang" last="Chenping Zhang">CHENPING ZHANG</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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