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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2021, vol. 27, issue2
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2021272.3752
Published online: 31 May 2021
Original article
J of IMAB. 2021 Apr-Jun;27(2):3752-3758
THREE DIMENSIONAL VIRTUAL PLANNING, MODELLING AND PRINTING IN FIBULA FREE FLAP MANDIBULAR RECONSTRUCTIONS – INITIAL CASE SERIES IN A LIMITED RESOURCE ENVIRONMENT
Nikolay Yanev
, Svetoslav Slavkov, Daniel Markov, Alexandrina Malinova,
Maxillofacial Unit, University Multiprofile Acute Hospital “N. I. Pirogov”, Sofia, Bulgaria.
ABSTRACT:
The most contemporary approach when dealing with extensive head and neck defects post oncological resections is based on virtual computer planning, surgical resection/reconstruction simulation and three dimensional modeling and printing. It is of great benefit, particularly when the maxillo-mandibular area is involved, because of its complex three dimensional form and active functional load, both these features presenting a long-standing reconstructive challenge to the head and neck surgeons.
Developing such complex surgical techniques is a very resource dependent undertaking and relies substantially on a strategic support from the given National Health Service system.
An overview of the first 3 consecutive cases of entirely digitally planned and lab-to-theatre transferred mandibular resections and simultaneous microvascular fibula flap reconstructions performed in Sofia between August – October 2017 is presented.
Keywords: Computer-Assisted Therapy, Planning Technic, Fibula, Microsurgical Free Flaps, Mandibular Reconstructive Surgery,
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Please cite this article as: Yanev N, Slavkov S, Markov D, Malinova A. Three dimensional virtual planning, modelling and printing in fibula free flap mandibular reconstructions – initial case series in a limited resource environment. J of IMAB. 2021 Apr-Jun;27(1):3752-3758. DOI: 10.5272/jimab.2021272.3752
Correspondence to: Nikolay Yanev, DMD, MD, PhD, FEBOMFS, Maxillofacial Surgery Unit, University Hospital - N. I. Pirogov, Sofia; 21, Gen.Totleben Str., Sofia 1606, Bulgaria; E-mail: nyanev@abv.bg
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Received: 27 July 2020
Published online: 31 May 2021