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자료유형
학술저널
저자정보
Woo, Taeyong (Department of Plastic & Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) Kraeima, Joep (3D Imaging Center, Department Oral and Maxillofacial Surgery, University Medical Centre Groningen) Kim, Yong Oock (Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) Kim, Young Seok (Department of Plastic & Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) Roh, Tai Suk (Department of Plastic & Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine) Lew, Dae Hyun (Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) Yun, In Sik (Department of Plastic & Reconstructive Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine)
저널정보
국제컴퓨터가상수술학회 Journal of International Society for Simulation Surgery Journal of International Society for Simulation Surgery 제2권 제2호
발행연도
2015.1
수록면
90 - 93 (4page)

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The fibula free flap has now become the most reliable and frequently used option for mandible reconstruction. Recently, three dimensional images and printing technologies are applied to mandibular reconstruction. We introduce our recent experience of mandibular reconstruction using three dimensionally planned fibula free flap in a patient with gunshot injury. The defect was virtually reconstructed with three-dimensional image. Because bone fragments are dislocated from original position, relocation was necessary. Fragments are virtually relocated to original position using mirror image of unaffected right side of the mandible. A medical rapid prototyping (MRP) model and cutting guide was made with 3D printer. Titanium reconstruction plate was adapted to the MRP model manually. 7 cm-sized fibula bone flap was designed on left lower leg. After dissection, proximal and distal margin of fibula flap was osteotomized by using three dimensional cutting guide. Segmentation was also done as planned. The fibula bone flap was attached to the inner side of the prebent reconstruction plate and fixed with screws. Postoperative evaluation was done by comparison between preoperative planning and surgical outcome. Although dislocated condyle is still not in ideal position, we can see that reconstruction was done as planned.

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