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A selective laser sintering guide for transferring a virtual plan to real time surgery in composite mandibular reconstruction with free fibula osseous flaps
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Oral and Maxillofacial Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Oral and Maxillofacial Surgery.
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2009 (English)In: International Journal of Oral and Maxillofacial Surgery, ISSN 0901-5027, E-ISSN 1399-0020, Vol. 38, no 2, 187-192 p.Article in journal (Refereed) Published
Abstract [en]

The free fibular flap is the standard procedure for reconstructing mandibular defects. The graft has to be contoured to fit the defect so preoperative planning is required. The systems used previously do not allow transfer of the surgical plan to the operation room in an optimal way. The authors present a method to bring the virtual plan to real time surgery using a rapid prototyping guide. Planning was conducted using the Surgicase CMF software simulating surgery on a workstation. The osteotomies were translated into a rapid prototyping guide, sterilised and applied during surgery on the fibula allowing for the osteotomies and osteosynthesis to be performed with intact circulation. During reconstruction the authors were able to choose the best site for the osteotomies regarding circulation and as a result increased the precision and speed of treatment.

Place, publisher, year, edition, pages
2009. Vol. 38, no 2, 187-192 p.
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Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-110335DOI: 10.1016/j.ijom.2008.11.026ISI: 000264020900012PubMedID: 19179046OAI: oai:DiVA.org:uu-110335DiVA: diva2:276185
Available from: 2009-11-11 Created: 2009-11-11 Last updated: 2017-12-12Bibliographically approved

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Messo, EliasThor, AndreasHirsch, J-M.

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