Resection and reconstruction planning for tumour and cancer

with Immediate Fibula
Free Flap and 3D Printing Technology

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  • Designed by Zoriox Innovation Labs ,Marketed by Graft3D Healthcare Solutions

Overview

Reconstruction of the maxilla and mandible after oncologic or traumatic resection is necessary not only to restore oral function and facial harmony but also to improve the general well being of patients. Advanced microvascular techniques integrated with digital planning and 3D printing have redefined the landscape of maxillofacial reconstructive surgery, empowering the surgeon to create patient specific,accurate results.

Immediate Fibula Free Flap in Jaw Reconstruction

Fibula free flap is the gold standard for reconstruction of the mandible and maxilla. Its unique advantages include:

  • Sufficient bone to preserve continuity of the maxilla or mandible.
  • Reliable vascularity, ensuring graft survival.
  • Ease of use with availability of skin paddles for intraoral or external coverage.

Immediate reconstruction with the tumor resection offers the best functional and aesthetic reconstruction. It preserves the soft tissue envelope, minimises post-operative scarring, and facilitates earlier rehabilitation.

3D Printing in Virtual Surgical Planning

3D Printing and VSP have revolutionized craniofacial reconstruction in a way providing surgeons with a digital-to-clinical workflow that enhances precision and predictability.

Key Applications

  • 3D-Printed Resection/Cutting Guides: Facilitate precise resection margins and accurate fibular osteotomies, ensuring accurate execution of the surgical plan from the digital plan.
  • Custom Titanium Cranioplasty Plates: Designed using preoperative CT scans, these plates provide rigid stabilization, restore anatomical morphology, and eliminate the requirement of bending plates during surgery.

Advantages of a Digital Workflow

The combination of 3D printing and virtual planning provides several clinical advantages:

  • Form, Symmetry, and Occlusion restored with great precision.
  • Minimized intraoperative timeframe with guided performance.
  • Consistent improvement in chewing, speaking, and appearance.
  • Improved patient satisfaction associated with superior functional and aesthetic results.

Pre Planned Dental Implants: “Jaw in a Day” Approach

One of the most significant developments in maxillofacial reconstruction has been the opportunity to combine intraoperative dental rehabilitation with the surgical reconstruction.

  • With VSP, occlusion and prosthetic requirements are established by the surgeon prior to surgery.
  • Dental implants are pre installed into the fibula segment through a 3D printed drill guide.
  • Implants are installed with the preoperatively designed occlusion following microvascular transfer.

Benefits

  • Immediate or early loading of the prosthesis, shortening treatment times.
  • Precise registration of implants with opposing dentition.
  • Quicker Recovery, no need for numerous staged surgeries.

Clinical Impact

Fibula free flap reconstruction combined with 3D printing surgical templating, patient-specific plates, and pre-designed dental implants is the most advanced surgical modality in reconstructive maxillofacial surgery. This single session, computer-aided process makes it possible to obtain structural and functional restoration and facial aesthetics, which enables patients to recover more quickly and better in daily life.

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Reconstruction of the Maxilla and Mandible

with Immediate Fibula
Free Flap and 3D Printing Technology

Get a Quote Now