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Evaluation of virtual surgical planning systems and customized devices in fibula free flap mandibular reconstruction

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was to evaluate the accuracy of virtual planning using customized surgical devices (VP3D) in fibula free flap mandibular reconstruction.

Methods

Fourteen patients received VP3D and 16 patients underwent conventional surgery (CS). Virtual planning was compared to postoperative scans using cephalometric and three-dimensional (3D) measurements. Operative times of both VP3D and CS groups were compared.

Results

Comparisons of cephalometric measurements revealed no significant difference between virtual planning and postoperative scans. 3D analysis demonstrated a high level of virtual planning accuracy. In the VP3D group, total operative time gain was 88 min (p < 0.001) and total ischemia time gain was 36 min (p = 0.04).

Conclusion

Virtual surgical planning using customized devices enables ‘tailored’ surgery that is accurate and reliable and results in operative and ischemia time gain.

Clinical trial

NCT03869723.

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Funding

None declared.

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Croix Rousse Hospital, Service d’ORL et chirurgie cervico-faciale, Hospices Civils de Lyon (Hospital Group of Lyon), 103 Grande Rue de la Croix Rousse, 69004, Lyon, France

    Jacques Blanc, Carine Fuchsmann, Pierre Philouze & Philippe Ceruse

  2. Department of Radiology, Lyon Sud Hospital, Hospices Civils de Lyon (Hospital Group of Lyon), 165 Chemin du Grand Revoyet, 69310, Pierre-Bénite, France

    Veronica Nistiriuc-Muntean

  3. Department of Anesthesiology and Resuscitation, Croix Rousse Hospital, Hospices Civils de Lyon (Hospital Group of Lyon), 103 Grande Rue de la Croix Rousse, 69004, Lyon, France

    Pierre Jacquenot

  4. Claude Bernard University, Lyon 1, France

    Philippe Ceruse

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  1. Jacques Blanc
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  2. Carine Fuchsmann
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  4. Pierre Jacquenot
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Correspondence to Jacques Blanc.

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Blanc, J., Fuchsmann, C., Nistiriuc-Muntean, V. et al. Evaluation of virtual surgical planning systems and customized devices in fibula free flap mandibular reconstruction. Eur Arch Otorhinolaryngol 276, 3477–3486 (2019). https://doi.org/10.1007/s00405-019-05625-z

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  • DOI: https://doi.org/10.1007/s00405-019-05625-z

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