Modern Oncologic Maxillary Reconstruction | Journal CME Article-Flap design. Video 2 from “Modern Oncological Maxillary Reconstruction” September 2024

Flap design. Video 2 from “Modern Oncological Maxillary Reconstruction” September 2024 – 154 (3) CME

Video Transcription

Video Summary

The process of reconstructing a craniofacial ablative defect involves using the fibula for bone reconstruction. This requires segmenting the fibula virtually, optimizing the bone sections' size, angle, and placement. Prosthodontic reconstruction uses two to three prosthetic teeth per implant, ensuring implant placement maintains adequate distance from osteotomies to prevent necrosis. Alignment is crucial, utilizing grids and visualization of dental roots. The fibular segments are tailored to fit bone stock, and pedicle length factors into reaching neck vessels. Accurate virtual planning guide designs ensure correct anatomical positioning for both maxillary and fibular cutting, preventing implant malalignment.

Keywords

craniofacial reconstruction

fibula segmentation

prosthodontic implants

virtual planning

anatomical positioning