The occlusion-adjusted prefabricated 3D mirror image templates by computer simulation: The image-guided navigation system application in difficult cases of head and neck reconstruction

Hsu Tang Cheng, Chao I. Wu, Ching Shiow Tseng, Hung Chi Chen, Wu Song Lee, Philip Kuo Ting Chen, Sophia Chia Ning Chang

研究成果: 雜誌貢獻文章同行評審

9 引文 斯高帕斯(Scopus)

摘要

Computer applications in head and neck reconstruction are rapidly emerging and create not only a virtual environment for presurgical planning, but also help in image-guided navigational surgery. This study evaluates the use of prefabricated 3-dimensional (3D) mirror image templates made by computer-simulated adjusted occlusions to assist in microvascular prefabricated flap insertion during reconstructive surgery.Five patients underwent tumor ablation surgery in 1999 and survived for 8 years. Four of the patients with malignancy received radiation therapy. All patients in this study suffered from severe malocclusion causing trismus, headache, temporomandibular joint pain, an unsymmetrical face, and the inability of further osseointegrated teeth insertion. They underwent a 3D computer tomography examination and the nonprocessed raw data were sent for computer simulation in adjusting occlusion; thus, a mirror image template could be fabricated for microsurgical flap guidance.The computer simulated occlusion was acceptable and facial symmetry obtained. The use of the template resulted in a shorter operation time and recovery was as expected.The computer-simulated occlusion-adjusted 3D mirror image templates aid in the use of free vascularized bone flaps for restoring continuity to the mandible. The coordinated arch will help with further osseointegration teeth insertion.
原文英語
頁(從 - 到)517-521
頁數5
期刊Annals of Plastic Surgery
63
發行號5
DOIs
出版狀態已發佈 - 11月 1 2009
對外發佈

ASJC Scopus subject areas

  • 手術

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