ArticleFrontiers in oncology2021
In-House, Open-Source 3D-Software-Based, CAD/CAM-Planned Mandibular Reconstructions in 20 Consecutive Free Fibula Flap Cases: An Explorative Cross-Sectional Study With Three-Dimensional Performance Analysis.
Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Selective preoperative lower extremity computed tomography angiography before mandibular reconstruction: Identifying patients unlikely to require fibula free flap reconstruction.Oral and maxillofacial surgery · 2026Article
- Computed Tomography Angiography-Based Mapping of Septocutaneous Fibular Artery Perforators: An Anatomical Analysis.Microsurgery · 2026Article
- Patient-Specific Virtual Surgical Planning and In-House CAD-/CAM-Guided Vascularized Bone Flaps for Salvage Extremity Reconstruction: A Case Series.Bioengineering (Basel, Switzerland) · 2026Article
- Primary fixation stability evaluation of pre-bent titanium miniplate configurations in mandibular reconstruction.Frontiers in bioengineering and biotechnology · 2026Article
- Geometric Fidelity of Magnetic Resonance Imaging and Computed Tomography-Derived Virtual 3D Models of Porcine Cadaver Mandibles: Conventional Versus Artificial Intelligence-Based Segmentation.Oral health & preventive dentistry · 2025Article
- Interactive pipeline for mandible reconstruction surgery planning using fibula free flap.International journal of computer assisted radiology and surgery · 2025Article
- A User-Friendly Software for Automated Knowledge-Based Virtual Surgical Planning in Mandibular Reconstruction.Journal of clinical medicine · 2025Article
- Guided Frontal Sinus Osteotomy: A Pilot Study of a Digital Protocol for "In-House" Manufacturing Surgical Cutting Guides.Journal of clinical medicine · 2025Article
- The localization of septo-cutaneous perforators of free fibular flaps determines the postoperative accuracy of maxillofacial reconstructions and should therefore be included in virtual surgical planning procedures.Oral and maxillofacial surgery · 2025Article
- Training of Oral and Maxillofacial Surgery Residents in Virtual Surgical Planning: A Feasibility Study Comparing Open-Source Freeware and Commercially Available Software for Mandibular Reconstruction with Fibula Free Flap.Craniomaxillofacial trauma & reconstruction · 2025Article
- Implementation of In-house Computer-aided Design and Manufacturing for Accelerated Free Fibula Flap Reconstruction of Mandibular Defects in Cancer Patients.Plastic and reconstructive surgery. Global open · 2024Article
- Cost-effective Solution for Maxillofacial Reconstruction Surgery with Virtual Surgical Planning and 3D Printed Cutting Guides Reduces Operative Time.Plastic surgery (Oakville, Ont.) · 2024Article
- Comparison of three-dimensional imaging of the nose using three different 3D-photography systems: an observational study.Head & face medicine · 2024Observational
- Personalized 3D-printed cranial implants for complex cranioplasty using open-source software.Surgical neurology international · 2024Article
- Oral rehabilitation and associated quality of life following mandibular reconstruction with free fibula flap: a cross-sectional study.Frontiers in oncology · 2024Article
- Postoperative facial appearance of patients with extensive oral squamous cell carcinoma can be adequately preserved with in‑house virtually planned mandibular reconstruction.Molecular and clinical oncology · 2023Article
- Virtual Surgical Planning and Three-Dimensional Models for Precision Sinonasal and Skull Base Surgery.Cancers · 2023Article
- Accuracy of virtual surgical planning in mandibular reconstruction: application of a standard and reliable postoperative evaluation methodology.BMC oral health · 2023Article
- Mandibular reconstructions with free fibula flap using standardized partially adjustable cutting guides or CAD/CAM technique: a three- and two-dimensional comparison.Frontiers in oncology · 2023Article
- Activation of assembly factor for spindle microtubules triggers progression of renal cell carcinoma via Wnt3a pathway.Journal of Cancer · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMandibular reconstruction is conventionally performed freehand, CAD/CAM-assisted, or by using partially adjustable resection aids. CAD/CAM-assisted reconstructions are usually done in cooperation with osteosynthesis manufacturers, which entails additional costs and longer lead time. The purpose of this study is to analyze an in-house, open-source software-based solution for virtual planning. METHODS AND MATERIALS: All consecutive cases between January 2019 and April 2021 that underwent in-house, software-based (Blender) mandibular reconstruction with a free fibula flap (FFF) were included in this cross-sectional study. The pre- and postoperative Digital Imaging and Com munications in Medicine (DICOM) data were converted to standard tessellation language (STL) files. In addition to documenting general information (sex, age, indication for surgery, extent of resection, number of segments, duration of surgery, and ischemia time), conventional measurements and three-dimensional analysis methods (root mean square error [RMSE], mean surface distance [MSD], and Hausdorff distance [HD]) were used.
resultsTwenty consecutive cases were enrolled. Three-dimensional analysis of preoperative and virtually planned neomandibula models was associated with a median RMSE of 1.4 (0.4-7.2), MSD of 0.3 (-0.1-2.9), and HD of 0.7 (0.1-3.1). Three-dimensional comparison of preoperative and postoperative models showed a median RMSE of 2.2 (1.5-11.1), MSD of 0.5 (-0.6-6.1), and HD of 1.5 (1.1-6.5) and the differences were significantly different for RMSE (
conclusionsOpen-source software-based in-house planning is a feasible, inexpensive, and fast method that enables accurate reconstructions. Additionally, it is excellent for teaching purposes.
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