A new concept for mandible reconstruction after oncological resection: Multisegment virtual surgical planning

dc.contributor.authorIsmayilzade, M.
dc.contributor.authorYildiz, K.
dc.contributor.authorCanter, H.I.
dc.date.accessioned2024-05-19T14:34:10Z
dc.date.available2024-05-19T14:34:10Z
dc.date.issued2024
dc.departmentİstinye Üniversitesien_US
dc.description.abstractPurpose: Virtual surgical planning (VSP) is good for three dimensional reconstructions in maxillofacial surgery, but it is not problem-free completely especially when the resection margins cannot be affirmed in preoperative period. We aimed to obtain an ideal reconstruction with elaborating VSP to be prepared for adverse conditions during surgery and to proceed the oncological resections step- by- step with A, B, and C resection planes. Patients and methods: Four patients undergoing multisegment VSP for the primary mandible malignancies were included in the study. The first resection margin was detected as plan A in VSP, and plans of B and C were also prepared considering the tumor- positive result of intraoperative frozen section procedure. Results: Following the tumor resection, margins were extended to the plan B in two patients, and plan C in one patient in accordance with the results of the frozen section procedure.Histogram comparison of the localizations of osteotomies in mandible and fibula, and positions of the implants were calculated at a confidence level of 95 % (p > 0.95) and mean difference was found -0.55 mm, while standard deviation was 1.76 mm. Conclusion: Multisegment virtual surgical planning seems to achieve the optimal reconstruction with the staged resection preventing redundant removal of tumor- free structures like bone and teeth. © 2024 Elsevier Masson SASen_US
dc.identifier.doi10.1016/j.jormas.2024.101859
dc.identifier.issn2468-7855
dc.identifier.scopus2-s2.0-85189458009en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1016/j.jormas.2024.101859
dc.identifier.urihttps://hdl.handle.net/20.500.12713/4426
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherElsevier Masson s.r.l.en_US
dc.relation.ispartofJournal of Stomatology, Oral and Maxillofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240519_kaen_US
dc.subjectMandible Malignanciesen_US
dc.subjectMandible Reconstructionen_US
dc.subjectMultisegment Virtual Surgical Planningen_US
dc.titleA new concept for mandible reconstruction after oncological resection: Multisegment virtual surgical planningen_US
dc.typeArticleen_US

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