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J Craniomaxillofac Surg. 2014 Oct;42(7):1460-4. doi: 10.1016/j.jcms.2014.04.011. Epub 2014 May 2.

The CAD-CAM technique for mandibular reconstruction: an 18 patients oncological case-series.

Author information

1
Maxiollofacial Surgery Unit, S.Orsola-Malpighi Hospital, Via Massarenti 9, 40100 Bologna, Italy. Electronic address: achilletarsitano@gmail.com.
2
School of Medicine, Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.
3
S.Orsola-Malpighi Hospital, Via Massarenti 9, 40100 Bologna, Italy.
4
Section of Prosthodontics, Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.
5
Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University of Bologna, Via S. Vitale 59, 40125 Bologna, Italy.

Abstract

BACKGROUND:

Modern techniques for mandibular reconstruction, such as CAD-CAM, offer new solutions for planning of reconstructive surgery in relation to the aesthetic outcome and the prosthetic rehabilitation.

METHODS:

CAD-CAM reconstruction procedures using vascularised bone free-flap transfers and surgical guides to cut the mandible and fibula were performed in 18 cases of neoplasms. The planned surgery was used to design and manufacture customised surgical devices.

RESULTS:

The mean follow-up was 12 months. All patients, except one, are alive without disease at the time of writing. Reconstructive microvascular flap survival was 100%. No major or minor microvascular complication occurred. No donor site complication was observed.

CONCLUSIONS:

CAD-CAM technology is a very useful way to obtain the native morphology of the mandible, especially when both bi-dimensional and tri-dimensional defects occur. The reconstruction protocol presented offers several benefits and few disadvantages, which are discussed in the article.

KEYWORDS:

CAD–CAM procedures; Head and neck reconstruction; Mandibular neoplasms; Mandibular reconstruction

PMID:
24942093
DOI:
10.1016/j.jcms.2014.04.011
[Indexed for MEDLINE]

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