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Mandibular reconstructions using computer-aided design/computer-aided manufacturing: A systematic review of a

Achille Tarsitano1, Giacomo Del Corso1, Leonardo Ciocca2

  • 1Maxillofacial Surgery Unit, S. Orsola-Malpighi Hospital, Department of Biomedical and Neuromotor Sciences (Head Prof. C. Marchetti), Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|September 11, 2015
PubMed
Summary
This summary is machine-generated.

This study introduces a systematic protocol for reconstructive surgery using computer-aided design/computer-aided manufacturing (CAD-CAM). It details virtual planning, custom manufacturing, and a reconstructive algorithm for optimizing outcomes in complex cases like mandibular reconstruction.

Keywords:
ClassificationComputer-aided designComputer-aided manufacturingMandibleReconstructive algorithm

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomedical Engineering
  • Reconstructive Surgery

Background:

  • Computer-aided design/computer-aided manufacturing (CAD-CAM) offers advanced planning for reconstructive surgery, improving aesthetics and function.
  • Existing CAD-CAM applications lack a comprehensive protocol encompassing virtual planning, custom manufacturing, and a reconstructive algorithm.
  • Mandibular reconstruction presents unique challenges in achieving optimal functional and aesthetic results.

Purpose of the Study:

  • To review current practices in virtual planning and custom manufacturing for reconstructive surgery.
  • To develop a novel, defect-based reconstructive algorithm for complex surgical cases.
  • To evaluate the utility of virtual planning, surgical guides, and custom titanium plates in mandibular reconstruction.

Main Methods:

  • Systematic review of current literature on reconstructive surgery planning.
  • Analysis of case series focusing on virtual planning and custom manufacturing.
  • Development and evaluation of a defect-based reconstructive algorithm.
  • Assessment of techniques including surgical guides and laser-printed titanium plates for mandibular reconstruction.

Main Results:

  • A comprehensive, defect-based reconstructive algorithm integrating virtual planning and custom manufacturing was developed.
  • Evaluation of mandibular reconstruction cases demonstrated the utility of virtual planning and custom titanium plates.
  • The proposed protocol supports composite free flaps, enhancing functional and aesthetic rehabilitation.

Conclusions:

  • A systematic protocol for reconstructive surgery, incorporating virtual planning, custom manufacture, and a reconstructive algorithm, is essential.
  • Virtual planning, surgical guides, and custom titanium plates represent valuable tools for optimizing mandibular reconstruction.
  • This approach advances reconstructive surgery by providing a structured methodology for complex cases.