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KMID : 0361020210640030135
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 3 p.135 ~ p.147
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The Judgement for Development of Virtual Surgical Planning and Three-Dimensional Bio-Printing for Superior Reconstruction of Mandibular Defect by Fibular Graft on Head-Neck Cancer
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Shuborna Nadia Sultana
Bhattarai Bishwa Prakash
Chaiyasamut Teeranut
Kiattavornchareon Sirichai
Wongsirichat Natthamet
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Abstract
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Oncological resection followed by reconstruction with a free fibular graft is still considered tobe the gold standard treatment for functional and prosthetic rehabilitation of oral cancer patients.
But this tedious traditional process is challenging for surgeons, as they have to dealwith associated curve anatomy, surrounding innervations, and maintenance of functional andaesthetical acceptability. Such manual and operator’s skill dependent surgery can commonlydemand a longer treatment duration; leading to an increased risk for prolonging the period ofischemia with increased morbidity, which frequently ends with an uncertain, unsatisfactoryoutcome. Technological advancements in the 20th and 21st centuries present a revolutionaryimprovement in the field of reconstructive surgery. Virtual surgical planning (VSP) and threedimensional(3D) bio-printing incorporating computer-aided design and computer-aided modelingis a promising tech in modern head and neck reconstruction. This recent innovation ismore polished regarding initiation of patient-customized models, pre-bent plates, and osteotomyguides which further increase surgical precision, improve operative efficiency, ensureproper wound healing, shorten operative time, reduce operative cost, and decrease morbidities.
This review focuses on the virtual surgical planning and 3D bio-printing technologies toevaluate their efficiency of qualitative and quantitative outcomes of resection and reconstructionof mandible in head-neck cancer using fibular graft.
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KEYWORD
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Computer-aided design and computer-aided modeling system, Fibula free graft, Mandibular reconstruction, Oral squamous cell carcinoma, Virtual surgical planning, 3D printing
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