Navigation-guided fibula free flap for mandibular reconstruction: A proof of concept study

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Piotr PietruskiJanusz Jaworowski

Abstract

To analyze a novel technique of supporting fibula free flap harvest and fabrication with intraoperative navigation technology. In the first phase of the study, navigation accuracy achieved with two registration methods, namely, point-pair and hybrid technique utilizing point-pair with surface matching, were evaluated in the form of the fiducial (FRE) and target registration error (TRE). Next, a series of 42 simulated navigated fibular osteotomies were conducted on specially manufactured lower leg phantom. Postoperative results were analyzed in the form of the angular and position deviations between the virtually planned and the obtained osteotomies. Mean FRE values obtained with point-pair and hybrid registration methods were 1.82 ± 0.96 mm and 1.41 ± 0.44 mm, respectively. Mean TRE value in the fibula region was 2.00 ± 0.67 mm for the first method and 1.51 ± 0.72 mm for the second. For all performed surgeries, the total mean angular deviation between the planned and actual osteotomy trajectory equaled 3.66° ± 3.60°. The total mean position disparity of osteotomy control points was 1.85 ± 0.99 mm. Navigation-guided free fibula flap harvest and fabrication, due to encouraging study results and its superiority over currently popu...Continue Reading

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Citations

May 28, 2019·The Laryngoscope·Piotr PietruskiMaciej Mazurek
Mar 28, 2020·Journal of Clinical Medicine·Soo-Hwan ByunJong-Ho Lee
Jun 25, 2020·Clinical Implant Dentistry and Related Research·Funda GokerMassimo Del Fabbro
Jul 31, 2021·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Philipp WinnandAli Modabber

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