作者
Leonardo Ciocca, Simona Mazzoni, Massimiliano Fantini, Franco Persiani, Paolo Baldissara, Claudio Marchetti, Roberto Scotti
发表日期
2012/7
期刊
Medical & biological engineering & computing
卷号
50
页码范围
743-749
出版商
Springer-Verlag
简介
This paper describes a new protocol for mandibular reconstruction. Computer-aided design/computer-aided manufacturing (CAD/CAM) technology was used to manufacture custom-made cutting guides for tumor ablation and reconstructive plates to support fibula free flaps. CT scan data from a patient with an odontogenic keratocyst on the left mandibular ramus were elaborated to produce a virtual surgical plan of mandibular osteotomy in safe tissue for complete ramus resection. The CAD/CAM procedure was used to construct a customized surgical device composed of a cutting guide and a titanium reconstructive bone plate. The cutting guide allowed the surgeon to precisely transfer the virtual planned osteotomy into the surgical environment. The bone plate, including a custom-made anatomical condylar prosthesis, was designed using the outer surface of the healthy side of the mandible to obtain an …
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L Ciocca, S Mazzoni, M Fantini, F Persiani… - Medical & biological engineering & computing, 2012