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Oromandibular reconstruction using 3D planned triple template method.

Casper Coppen¹, Willem Weijs, Stefaan J Bergé

¹Department of Oral and Maxillofacial Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons

|July 23, 2013

Summary

Three-dimensional (3D) imaging and templating significantly improve oromandibular reconstruction by enabling precise surgical planning and execution. This computer-aided surgery approach ensures accurate, oncologically safe mandible reconstruction, reducing operative time.

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Area of Science:

Oral and Maxillofacial Surgery
3D Imaging and Computer-Aided Surgery
Head and Neck Oncologic Reconstruction

Background:

Oromandibular defects present significant reconstructive challenges for head and neck surgeons.
Accurate reconstruction is crucial for restoring function and aesthetics.
Traditional methods can involve complex intraoperative decision-making.

Observation:

A patient with mandibular osteosarcoma underwent segmental resection and reconstruction.
Preoperative planning utilized computed tomographic data in a virtual environment.
Three custom-made surgical templates were fabricated using selective laser sintering.

Findings:

The templates facilitated precise execution of surgical steps, including bone resection and fibula graft placement.

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Computer-aided planning and the 3-template method ensured accurate mandibular geometry.

This approach minimized intraoperative decision-making and reduced graft ischemic time.

Implications:

Computer-aided surgery enhances the accuracy and safety of oromandibular reconstruction.
The 3-template method streamlines the surgical workflow, shortening operative time.
This technology offers a valuable tool for achieving oncologically sound and functional reconstructions.