Int J Med Robot - Computer-assisted zygoma reconstruction with vascularized iliac crest bone graft.

Tópicos

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Resumo

CKGROUND: The reconstruction of zygoma is a challenge with regard to aesthetic and reconstructive demands.METHODS: Pre-operative CT data were imported into specific surgical planning software. The mirror-imaging technique was used. A surgical guide transferred the virtual surgery plan to the operation site, whereby it fitted uniquely to the iliac donor site. A postoperative CT scan was obtained for comparing the actual postoperative graft position and shape with the pre-operative virtual simulation.RESULTS: A mean difference of 0.71 mm (SD?1.42) for the shape analysis and 3.53 mm (SD?3.14) for the graft position was determined. The calculation of the closest point distance showed a surface deviation of<2 mm for the shape analysis with 83.6% of values and for the graft position with 35.7% of values.CONCLUSION: Virtual surgical planning is a suitable method for zygoma reconstruction with vascularized iliac crest bone graft, with good accuracy for restoring the three-dimensional anatomy.

Resumo Limpo

ckground reconstruct zygoma challeng regard aesthet reconstruct demandsmethod preoper ct data import specif surgic plan softwar mirrorimag techniqu use surgic guid transfer virtual surgeri plan oper site wherebi fit uniqu iliac donor site postop ct scan obtain compar actual postop graft posit shape preoper virtual simulationresult mean differ mm sd shape analysi mm sd graft posit determin calcul closest point distanc show surfac deviat mm shape analysi valu graft posit valuesconclus virtual surgic plan suitabl method zygoma reconstruct vascular iliac crest bone graft good accuraci restor threedimension anatomi

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