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  • Title: [Application of CTA and CAD\CAM techniques in mandible reconstruction with free fibula flap].
    Author: Zhang T, Zhang Y, Li YS, Gui L, Mao C, Chen YN, Zhao JZ.
    Journal: Zhonghua Zheng Xing Wai Ke Za Zhi; 2006 Sep; 22(5):325-7. PubMed ID: 17144442.
    Abstract:
    OBJECTIVE: To explore the application of computed tomographic angiography (CTA) and computer aided design\manufacture (CAD\CAM) techniques in mandible reconstruction with free fibula flap. METHODS: 7 cases of complex mandible defect were reconstructed with free fibula flap. Patients' lower extremity vasculature was evaluated by preoperative CTA examination; mandible tumor resection and reconstruction were simulated by CAD technique, the surgical template was manufactured with CAM technique preoperatively; and fibula flap was shaped according to surgical template during mandible reconstruction operation. RESULTS: Preoperative CTA examination performed without complication, the desired anatomy was adequately demonstrated in all patients. All of flaps survived, patients' facial contour are symmetry approximately. CONCLUSIONS: CTA and CAD\CAM techniques have important value for complex mandible reconstruction in selection of donor site, planning of operation and shaping of fibula flap.
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