ASSESSMENT OF VIRTUAL SURGICAL PLANNING BY USING 3D MODELLING AND PATEINT SPECIFIC PRE-BENT PLATE FOR MANDIBULAR RECONSTRUCTION: A CLINICAL TRIAL | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 19 January 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2025.350190.1401 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Ahmed Sobhi Hweidi  1; Mariam Mohamed Abdulhady2; Mohamed Farrag3
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| 1Plastic Surgery Department, Ain Shams University | ||||
| 2Resident at Plastic Surgery dept. Ain Shams University | ||||
| 3Professor sat Plastic Surgery Dept. Ain Shams University | ||||
| Abstract | ||||
| Abstract: Background: Vascularized bone flaps are now considered the benchmark for reconstructing the mandible. In recent years, virtual surgical planning has transformed the process of bone reconstruction. The procedure nowadays has far better outcomes in both functional and aesthetic aspects. Moreover, the operating times has significantly decreased with the continuous development of new advances. In addition, learning curve for surgeons has become less steep. Patients & Methods: This study aimed to compare mandibular reconstruction by free vascularized fibula using 3d models and Patient specific plate (pre bent by a manufacturer) with conventional free hand reconstruction method in our practice. This was achieved by comparing two groups of patients operated by the same surgeon. In group A virtual planning was used. On the other hand, a conventional free hand technique was used in group B. The 2 groups were compared regarding the operative time and the accuracy of reconstruction using radiological landmarks and measurements. Results: Our results showed a statistically significant reduction in operative time in Group A when compared to group B. Moreover, there was a non-statistically significant improvement regarding accuracy of the reconstruction in group A. Conclusion: The Use of Virtual Surgical Planning & Patient Specific Plate (pre bent) for mandibular reconstruction can reduce the operative time and improve the accuracy of reconstruction. | ||||
| Keywords | ||||
| Mandible Reconstruction; Virtual surgical planning; 3D modelling | ||||
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