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Updated: Jun 12, 2026
10:42
A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
Día de la mandíbula: Mejora de procesos y resultados
Cristina Benites1, Christian E Davila2, Dustin J Conrad1
1Department of Otolaryngology - Head & Neck Surgery, University of Florida College of Medicine, Gainesville, Florida, USA.
Resumen
La reconstrucción "Día de la mandíbula" ofrece un enfoque factible para defectos mandibulares, logrando una alta supervivencia de colgajos e implantes. Un flujo de trabajo de dos cirujanos mejora significativamente la eficiencia operativa.
Área de la Ciencia:
- Cirugía Oral y Maxilofacial; Cirugía Reconstructiva; Oncología
Sus antecedentes:
- La reconstrucción mandibular es compleja y requiere la restauración funcional y oncológica. El enfoque "Día de la mandíbula" tiene como objetivo agilizar este proceso. La evaluación de la experiencia institucional es crucial para refinar los modelos quirúrgicos.
Objetivo del estudio:
- Describir la experiencia institucional con la reconstrucción "Día de la mandíbula". Evaluar los resultados funcionales, oncológicos y quirúrgicos. Evaluar un modelo eficiente y reproducible para casos benignos y malignos.
Principales métodos:
- Serie de casos retrospectiva de 33 pacientes sometidos a reconstrucción "Día de la mandíbula" (enero de 2023-enero de 2024). Se incluyó la reconstrucción con colgajo libre de peroné o escápula con implantación dental inmediata y prótesis provisional. Se compararon los resultados según el método de captura de la prótesis y la composición del equipo (un cirujano vs. dos cirujanos).
Principales resultados:
- 33 pacientes (20 malignos, 13 benignos/traumáticos) se sometieron a reconstrucción; todos los colgajos sobrevivieron. La supervivencia de los implantes fue del 97%. Un enfoque de dos cirujanos redujo significativamente el tiempo operatorio en 4h 24m y el tiempo prostodóntico en 2 horas.
Conclusiones:
- "Día de la mandíbula" es un enfoque factible para la reconstrucción mandibular benigna y maligna. Se observaron altas tasas de supervivencia de colgajos e implantes. Las mejoras del proceso, especialmente un flujo de trabajo de dos cirujanos, mejoran la eficiencia.
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