CAD/CAM and conventional reconstruction of the mandibular condyle by fibula free flap: a clinical and radiological evaluation

The aim of this study was to analyse the radiological and clinical outcomes of condylar reconstruction by fibula free flap (FFF), comparing conventional freehand and CAD/CAM techniques. Fifteen patients (nine CAD/CAM, six freehand) who underwent condylar reconstruction with a FFF were reviewed retro...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2023-05, Vol.52 (5), p.531-538
Main Authors: Maurer, M., Gottsauner, J.M., Meier, J.K., Reichert, T.E., Ettl, T.
Format: Article
Language:English
Subjects:
CAD-CAM
Fibula
Free Tissue Flaps
Humans
Mandible
Mandibular Condyle - diagnostic imaging
Mandibular Condyle - surgery
Mandibular Reconstruction - methods
Micro surgery
Reconstructive surgery
Retrospective Studies
Temporomandibular joint
Temporomandibular Joint Disorders
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Summary:The aim of this study was to analyse the radiological and clinical outcomes of condylar reconstruction by fibula free flap (FFF), comparing conventional freehand and CAD/CAM techniques. Fifteen patients (nine CAD/CAM, six freehand) who underwent condylar reconstruction with a FFF were reviewed retrospectively regarding pre- and postoperative computed tomography/cone beam computed tomography scans and clinical function. After surgery, all patients were free of temporomandibular joint pain. Mean postoperative mouth opening was 30.80 mm, with no significant difference between the freehand and CAD/CAM groups. In all patients, laterotrusion was decreased to the contralateral side (P = 0.002), with no difference between freehand and CAD/CAM, while the axis of mouth opening deviated to the side of surgery (P 
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2022.08.017