Title :

A modified method for a customized harvest of fibula free flap in maxillofacial reconstruction

Author(s) :

Druelle, Charles [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Schlund, Matthias [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008
Lutz, Jean-Christophe [Auteur]
Nanomédecine Régénérative [NanoRegMed]
Constant, Marion [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Raoul, Gwénaël [Auteur]
Médicaments et biomatériaux à libération contrôlée: mécanismes et optimisation - Advanced Drug Delivery Systems - U 1008 [MBLC - ADDS]
Advanced Drug Delivery Systems (ADDS) - U1008
Nicot, Romain [Auteur]
Advanced Drug Delivery Systems (ADDS) - U1008

Journal title :

Journal of Stomatology, Oral and Maxillofacial Surgery

Abbreviated title :

J Stomatol Oral Maxillofac Surg

Volume number :

121

Pages :

74-76

Publication date :

2019-08-30

ISSN :

2468-7855

Keyword(s) :

Operative
Mandible
Mandibular reconstruction
Computer-aided design
Surgical procedure

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Mandibular reconstruction using computer-aided design/computer-aided manufacturing cutting guides is currently a common procedure. However, inaccurate positioning of the cutting guide onto the fibular bone may result in ...
Show more >Mandibular reconstruction using computer-aided design/computer-aided manufacturing cutting guides is currently a common procedure. However, inaccurate positioning of the cutting guide onto the fibular bone may result in osteosynthesis difficulties or imprecision in the reconstruction. A novel way to improve the stability of the cutting guides may be to add pillars in order for them to be suspended from the fibula, avoiding soft tissues interactions. We present the case of a 39-year-old male who needed mandibular reconstruction after a self-inflicted ballistic injury. We designed a customized cutting guide which included a set of 8 pillars allowing a suspension of the cutting guide 8 millimeters above the bone level. The pillars were perpendicular to one another, and allowed the operator to screw the cutting guide to the bone. The orthogonal position of the pillars enabled real stability during the osteotomies. In the operator experience, the length of the pillars was too important, and led to incomplete osteotomies, and the whole device was too bulky. However, with adaptations in the size of the pillars and the size of the whole device, this solution could be useful in cutting guide design to avoid impairments due to the soft tissues surrounding the fibula.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

CHU Lille
Inserm
Université de Lille

Collections :

• Advanced Drug Delivery Systems (ADDS) - U1008

Submission date :

2021-01-20T15:59:19Z
2024-02-23T10:38:31Z