الفهرس | Only 14 pages are availabe for public view |
Abstract Defects involving the midface and maxilla can have a great functional and aesthetic impact on the patient. Adequate restoration of the complex three-dimensional maxillary structure is required to replace form and function of the native tissue. Maxillary reconstruction presents a great challenge for oral and maxillofacial surgeons. The free fibula flap is widely used in maxillofacial reconstruction. The use of this flap with osseointegrated implants can provide esthetically and functionally satisfactory results in the long term. Thus, fibula flaps can be considered as ideal option for maxillary reconstruction. The three-dimensional position of the fibula flap is very difficult to control in conventional operations based solely on the surgeon’s experience. We aimed to improve this surgery by using computerized techniques. Virtual planning and rapid prototype modeling is increasingly employed in head and neck reconstruction with the aim of achieving superior surgical outcomes in functionally and aesthetically critical areas of the head and neck compared to conventional reconstruction. The reconstructive surgeon should be able to understand this rapidly-advancing technology with its advantages and disadvantages. Actually there is no limit to the degree to which patient-specific data may be integrated into the virtual planning process. Computer-assisted techniques such as virtual planning improve the accuracy of positioning of fibular segments. This procedure will enhance the functional and esthetic outcomes of maxillary reconstruction with free fibula flaps. |