ArticleOral and maxillofacial surgery2025
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.
Article in Oral and maxillofacial surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Development and validation of collaborative robot-assisted cutting method for iliac crest flap raising: Randomized crossover trial.Scientific reports · 2025Trial
- Perioperative laboratory profiles predict complications after extensive head and neck reconstruction: a proof-of-concept study.Frontiers in oncology · 2025Article
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Authors and funding
6 authors.
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Abstract
purposeTo investigate whether deviations in the localization of the main septo-cutaneous perforator (SCP) in maxillofacial reconstruction with free fibula flaps (FFF) lead to inaccuracies in the reconstruction result with respect to virtual surgical planning (VSP) procedures.
methodsThe consecutive VSP planning data of a total of 24 patients who either underwent resection of a bone-destructive malignancy or underwent maxillofacial reconstruction with FFF due to another osteodestructive lesion were retrospectively analyzed together with the postoperative computed tomography (CT) control data set and the preoperative computed tomographic angiograms (CTA). The deviations of the VSP from the actual position of the main SCP were quantified morphometrically to evaluate the impact on the reconstruction accuracy.
resultsSignificant differences in bone segment surfaces (p = 0.0006) and bone segment volumes (p = 0.0001) were observed between VSP and postoperative reconstruction results. A significant positive linear relationship was found between the distance of the SCP from the inferior margin of the lateral malleolus (p = 0.0362, R
conclusionsThe data provide evidence that the integration of the main SCP into the VSP procedures improves the predictability and accuracy of postoperative reconstruction outcomes.
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