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Updated: May 14, 2026
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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Step-by-step mandibular reconstruction with free fibula flap modelling
R Pellini1, G Mercante, G Spriano
1Department of Otolaryngology-Head and Neck Surgery, National Cancer Institute Regina Elena, via Elio Chianesi 53, Rome, Italy.
Summary
This study details a preplating technique for mandibular reconstruction using fibula free flaps. The method is easy, cost-effective, and reproducible, yielding good functional and aesthetic outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
- Biomaterials Engineering
Background:
- Segmental mandibular resection significantly impacts functional and aesthetic outcomes.
- Mandibular reconstruction with bone grafts is crucial for restoring defects.
- The fibula free flap offers versatility in bone and soft tissue reconstruction.
Purpose of the Study:
- To establish and describe a step-by-step preplating technique for oromandibular reconstruction.
- To evaluate the feasibility, cost-effectiveness, and reproducibility of the preplating method.
- To assess the functional and aesthetic outcomes of mandibular reconstruction using this technique.
Main Methods:
- The study involved 41 patients undergoing mandibular reconstruction.
- A detailed 8-10 step surgical technique focusing on preplating and template modeling was employed.
- Key procedural steps included plate removal, resection, replating, template modeling, fibula contouring, and fixation.
Main Results:
- The preplating and template modeling method was found to be easy to implement.
- The technique does not incur additional costs.
- Successful mandibular reconstruction with bone graft was achieved, confirmed by functional and aesthetic results.
Conclusions:
- The preplating technique is a feasible and reproducible method for oromandibular reconstruction.
- This approach offers a cost-effective solution for mandibular defects.
- The technique leads to satisfactory functional and aesthetic outcomes in patients.
