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[Surgical reconstruction of maxillary defects using a computer-assisted techniques].

W B Zhang1, Y Yu1, Y Wang1

  • 1Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

Beijing Da Xue Xue Bao. Yi Xue Ban = Journal of Peking University. Health Sciences
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Summary

Computer-assisted techniques enhance maxillary reconstruction accuracy and efficiency. These methods, including 3D imaging and virtual planning, significantly improve outcomes for patients with defects from tumor resection.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomedical Engineering
  • Reconstructive Surgery

Background:

  • Maxillary defects from tumor resection cause significant functional and cosmetic issues.
  • Vascularized composite bone flap transfer, particularly free fibula flap, is a common but challenging reconstruction method.
  • Existing experience-based procedures for maxillary reconstruction face limitations in accuracy and efficiency.

Purpose of the Study:

  • To evaluate the application and effectiveness of computer-assisted techniques in maxillary reconstruction.
  • To improve the accuracy and efficiency of functional maxillary reconstruction.
  • To enhance diagnostic and therapeutic outcomes for maxillary tumors and defects.

Main Methods:

  • Three-dimensional (3D) reconstruction and tumor mapping for diagnosis.
  • Virtual surgical planning for tumor resection and flap reconstruction.
  • 3D printing for surgical guides and templates.
  • Surgical navigation for intraoperative accuracy.
  • Computer-assisted analysis for outcome evaluation.

Main Results:

  • Computer-assisted techniques provide accurate 3D views for diagnosis and treatment planning.
  • Virtual planning and 3D printing enable precise pre-operative preparation.
  • Surgical navigation bridges virtual plans with surgical reality, ensuring accuracy.
  • Quantitative analysis and evaluation confirm improved clinical outcomes.
  • Studies demonstrated significant improvements in maxillary reconstruction using these techniques.

Conclusions:

  • Computer-assisted techniques offer a significant advancement in maxillary reconstruction.
  • These technologies enhance accuracy, efficiency, and predictability in complex cases.
  • The integration of digital tools revolutionizes the approach to functional and esthetic maxillary restoration.