Mandibular reconstruction with autologous bone graft using 3D planning – a case report
Authors:
B. Gál 1,2; I. Stupka 2,3; J. Hložek 1; D. Slouka 4,5; V. Vejmelka 1; M. Veselý 1,2; P. Urbánková 1,2
Published in:
Otorinolaryngol Foniatr, 74, 2025, No. 2, pp. 110-116.
Category:
Case Reports
doi:
https://doi.org/10.48095/ccorl2025110
Overview
Oncological surgical procedures involving resection of the anterior segment of the mandible represent in terms of functional reconstruction one of the most challenging procedures. Previously used reconstruction methods with steel plates resulted in high morbidity and unsatisfactory functional outcomes. In recent years, the Department of Otorhinolaryngology and Head and Neck Surgery at St. Anne‘s University Hospital in Brno has preferred the use of 3D preoperative planning technology. The presented case report provides a detailed description of the virtual planning process, the use of conceptual 3D models and cutting guides, and discusses the advantages and disadvantages of using 3D technology in mandibular reconstruction.
Keywords:
mandibular reconstruction – virtual surgical planning – 3D-printing – cutting guide – spacer – fibular free flap
Sources
1. Awad ME, Altman A, Elrefai R et al. The use of vascularized fibula flap in mandibular reconstruction: a comprehensive systematic review and meta-analysis of the observational studies. J Craniomaxillofac Surg 2019; 47 (4): 629. Doi: 10.1016/j.jcms.2019.01.037.
2. Kempný T, Lipový B, Bartošková J et al. Volná fibula v rekonstrukci dolní čelisti, kde jsou její přednosti a kde nevýhody? Hojení ran 2017; 7 (4): 3–5.
3. Hidalgo DA, Pusic AL. Free-flap mandibular reconstruction: a 10-year follow-up study. Plast Reconstr Surg 2002; 110 (2): 438. Doi: 10.1097/00006534-200208000-00010.
4. Bollig CA, Walia A, Pipkorn P et al. Perioperative outcomes in patients who underwent fibula, osteocutaneous radial forearm, and scapula free flaps: a multicenter study. JAMA Otolaryngol Head Neck Surg 2022; 148 (10): 965. Doi: 10.1001/jamaoto.2022.2440.
5. Futran ND, Urken ML, Buchbinder D et al. Rigid fixation of vascularized bone grafts in mandibular reconstruction. Arch Otolaryngol Head Neck Surg 1995; 121 (1): 70. Doi: 10.1001/archotol.1995.01890010056010.
6. Mazzola F, Smithers F, Cheng K et al. Time and cost-analysis of virtual surgical planning for head and neck reconstruction: a matched pair analysis. Oral Oncol 2020; 100: 104491. Doi: 10.1016/j.oraloncology.2019.104491.
7. Dzan L, Mamiňák K, Čapek L et al. Využití 3D tisku v chirurgii hlavy a krku. Otorinolaryngol Foniatr 2024; 73 (3): 176–181. Doi: 10.48095/ ccorl2024176.
8. Czakó L, Vavro M, Dvorabová B et al. Trojrozměrná navigace v maxilofaciální chirurgii – způsob, jak minimalizovat chirurgický stres a zlepšit přesnost chirurgických kroků u volného laloku z fibuly a u chirurgického zákroku při Eaglově syndromu. Acta Chir Plast 2021; 63 (3): 145–149. Doi: 10.48095/ccachp202 1145.
Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics

Most read in this issue
- Free flaps in the reconstruction of postoperative ENT defects: a retrospective study 2000– 2022
- Local and regional flaps for head and neck reconstruction
- Primary tumors and infiltrative processes of the orbit: a retrospective study
- Perioperative fluorescence visualization of parathyroid glands