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KMID : 1146720160030010012
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국제컴퓨터가상수술학회 학술지
2016 Volume.3 No. 1 p.12 ~ p.15
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Mandibular Reconstruction using Simulation Surgery after Segmental Mandibulectomy
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Hwang Jong-Hyun
Kim Ji-Wan
Ahn Kang-Min
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Abstract
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Functional and esthetic reconstruction after segmental mandibulectomy is one of the most challenging surgeries in microsurgical reconstruction field. Simulation surgery before free flap reconstruction has been performed for efficient surgery and successful results. Fibula free flap is the flap of the choice for reconstruction of the segmental mandibular defect. Straight nature of the fibula bone requires multiple segmentations to fit into mandible. 3D rapid prototype (RP) model gives a lot of information for mandibular reconstruction. The purpose of this study was to report mandibular reconstruction with free fibular flap using simulation surgery. A total of 30 consecutive patients were included for functional and esthetic evaluation. Among 30 patients, two flaps showed necrosis after radiotherapy. The other flaps were all survived and showed successful reconstruction in both function and esthetics.
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KEYWORD
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3D RP, Simulation surgery, Fibula free flap, Mandibular reconstruction
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