Functional and morphologic outcomes of cad/cam-assisted versus conventional microvascular fibular free flap reconstruction of the mandible: a retrospective study of 25 cases - Université de Lille Accéder directement au contenu
Article Dans Une Revue Journal of Stomatology, Oral and Maxillofacial Surgery Année : 2018

Functional and morphologic outcomes of cad/cam-assisted versus conventional microvascular fibular free flap reconstruction of the mandible: a retrospective study of 25 cases

Résumé

BACKGROUND: Mandibular reconstruction using fibula free flap has been improved in the last decade with computer-aided design and computer-aided manufacturing (CAD/CAM) but any functional and aesthetic evaluation of their reattempts has been realized. Aim of this retrospective study is to compare functional and morphologic outcomes after mandibular reconstruction with fibula free flap using CAD/CAM or conventional peroperative shaping for mandible reconstruction. Moreover, we compared quality of life, patient and surgery characteristics in the two groups. METHODS: We realized a monocentric retrospective analyzed of 25 cases of unilateral mandibular reconstruction divided in two groups, using CAD/CAM (12 patient) or conventional approach (13 patients) between April 2012 and March. Functional and aesthetic measurements were performed postoperatively. RESULTS: Mouth opening, laterotrusion and protrusion of the mandible seemed to be improved in CAD/CAM group compared with conventional group but did not differ significantly. Quality of life, bite force, masticatory ability, eating and chewing satisfaction, appearance and social activity satisfaction did not differ significantly in the two groups. CONCLUSIONS: Even if no superiority has been established for CAD/CAM group regarding functional and aesthetic outcomes, a prospective design of future studies and transdisciplinary approach should improve our data and their interpretations. Thus, the integration of virtual planning and guided surgery is definitely of significant value and must be considered in complex maxillofacial reconstructions.
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Dates et versions

hal-04470360 , version 1 (21-02-2024)

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Benjamin Bouchet, Gwénaël Raoul, M. Julieron, Thomas Wojcik. Functional and morphologic outcomes of cad/cam-assisted versus conventional microvascular fibular free flap reconstruction of the mandible: a retrospective study of 25 cases. Journal of Stomatology, Oral and Maxillofacial Surgery, 2018, Journal of Stomatology, Oral and Maxillofacial Surgery, 119, pp.455-460. ⟨10.1016/j.jormas.2018.07.003⟩. ⟨hal-04470360⟩

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