Maxillary Reconstruction Using a Multi-Element Free Fibula Flap Based on a Three-Dimensional Polyacrylic Resin Model

• Authors: Piotr Jędrzejewski , Adam Maciejewski , Cezary Szymczyk , Janusz Wierzgoń
• Languages of publication: EN

Abstracts

EN

Preoperative preparation of working models of the skull and free bone flaps using the digital print technology and photocured polyacrylic resins may be of a great benefit to the patient, for whom a virtual resection and reconstruction procedure may be planned in detail and performed. The purpose of mid-facial reconstruction using 3D models is to plan a functional mid-facial reconstruction procedure in order to restore supportive function of intraorbital structures and to make placement of dental implants and further prosthetic rehabilitation possible.Maxillary and mid-facial reconstruction using a free fibula flap based on a three-dimensional working model was performed in a patient diagnosed with a squamous cell carcinoma of the left maxillary sinus penetrating to the orbit, the ethmoid complex, and the pterygopalatine fossa. The use of three-dimensional polyacrylic models allowed for detailed preoperative planning and a virtual resection and reconstruction procedure with a highly satisfying functional and cosmetic effect.A procedure based on methods discussed here may be significantly shorter and more precise.

Keywords

EN

microvascular surgery; maxillary reconstruction; polyacrylic models

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2012
• Volume: 84
• Issue: 1
• Pages: 49-55

Dates

published

1 - 1 - 2012

online

3 - 4 - 2012

Contributors

author

Piotr Jędrzejewski

• Department of Oncological and Reconstructive Surgery, Cancer Center IMSC in Gliwice)

author

Adam Maciejewski

• Department of Oncological and Reconstructive Surgery, Cancer Center IMSC in Gliwice)

author

Cezary Szymczyk

• Department of Oncological and Reconstructive Surgery, Cancer Center IMSC in Gliwice)

author

Janusz Wierzgoń

• Department of Oncological and Reconstructive Surgery, Cancer Center IMSC in Gliwice)

References

• Katsuragi Y, Kayano S, Akazawa S et al.: Mandible reconstruction using the calcium-sulphate three-dimensional model and rubber stick: a new method, ‘mould technique’, for more accurate, efficient and simplified fabrication. J Plast Reconstr Aesthet Surg 2011 May; 64(5): 614-22.
• McCarthy CM, Cordeiro PG: Microvascular reconstruction of oncologic defects of the midface. Plast Reconstr Sur. 2010 Dec; 126(6): 1947-59.
• Mücke T, Hölzle F, Loeffelbein DJ et al.: Maxillary reconstruction using microvascular free flaps. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011 Jan; 111(1): 51-57.[Crossref]
• Dalgorf D, Higgins K: Reconstruction of the midface and maxilla. Curr Opin Otolaryngol Head Neck Surg 2008 Aug; 16(4): 303-11.[Crossref][PubMed]
• Brown JS, Shaw RJ: Reconstruction of the maxilla and midface: introducing a new classification. Lancet Oncol 2010 Oct; 11(10): 1001-08.[WoS][PubMed][Crossref]
• Moreno MA, Skoracki RJ, Hanna EY et al.: Microvascular free flap reconstruction versus palatal obturation for maxillectomy defects. Head Neck 2010 Jul; 32(7): 860-68.[WoS]
• Sun G, Yang X, Tang E et al.: Palatomaxillary reconstruction with titanium mesh and radial forearm flap. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Oct; 108(4): 514-19. Epub 2009 Aug 20.[Crossref]
• Ilankovan V, Ramchandani P, Walji S et al.: Reconstruction of maxillary defects with serratus anterior muscle and angle of the scapula. Br J Oral Maxillofac Surg 2011 Jan; 49(1): 53-57. Epub 2010 Mar 26.
• Valentini V, Gennaro P, Torroni A et al.: Scapula free flap for complex maxillofacial reconstruction. J Craniofac Surg 2009 Jul; 20(4): 1125-31.[WoS][Crossref]
• Bianchi B, Ferri A, Ferrari S et al.: Iliac crest free flap for maxillary reconstruction. J Oral Maxillofac Surg 2010 Nov; 68(11): 2706-13.
• Peng X, Mao C, Yu GY et al.: Maxillary reconstruction with the free fibula flap. Plast Reconstr Surg 2005 May; 115(6): 1562-69.[Crossref][PubMed]
• Baj A, Youssef DA, Monteverdi R et al.: Reconstruction of partial maxillary defects with the double-barrel fibula free flap. Acta Otorhinolaryngol Ital 2010 Dec; 30(6): 299-302.
• Cohen A, Laviv A, Berman P et al.: Mandibular reconstruction using stereolithographic 3-dimensional printing modeling technology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 Nov; 108(5): 661-66.[Crossref]

Identifiers

DOI

10.2478/v10035-012-0008-1