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- W1567228337 abstract "The functional and aesthetic outcomes after segmental mandibular resection are closely related to the technique used during mandibular reconstruction with bone graft. The fibula free flap approach allows the possibility of using bone with/without skin for restoring the defect. Here, we aimed to establish the preplating technique for oromandibular reconstruction in a step-by-step fashion, based on 41 patients. The surgical technique is expounded in 8-10 steps. Preplating, plate removal, resection, replating, template modelling, contouring and fixation of the fibula represent the key points of the procedure. In this report, we show that the preplating and template modelling method is easy, does not incur extra costs and can be successfully used for mandibular reconstruction with bone graft. Functional and aesthetic results confirm the feasibility and reproducibility of the technique.RIASSUNTOI risultati estetici e funzionali dopo resezione segmentale di mandibola sono strettamente legati alla tecnica chirurgica utilizzata al momento della ricostruzione mandibolare con innesti ossei. L'approccio con lembo libero di fibula consente di ripristinare il difetto mediante osso con o senza pelle. Abbiamo presentato la tecnica step-by-step di fissaggio della placca per la ricostruzione oro-mandibolare utilizzata in 41 pazienti. La tecnica è composta da 8-10 passaggi. Il fissaggio della placca, la rimozione della placca, la resezione, il riposizionamento della placca, la preparazione del modello e della fibula, nonché il suo fissaggio sono i punti chiave della procedura. Nel presente studio, mostriamo come la tecnica di fissaggio della placca e realizzazione del modello della fibula siano semplici da realizzare, non richiedano costi aggiuntivi e possano essere adottati per la ricostruzione della mandibola con innesto di osso. I risultati funzionali ed estetici confermano la buona riproducibilità della tecnica." @default.
- W1567228337 created "2016-06-24" @default.
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- W1567228337 date "2012-12-01" @default.
- W1567228337 modified "2023-09-24" @default.
- W1567228337 title "Step-by-step mandibular reconstruction with free fibula flap modelling." @default.
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