دورية أكاديمية
Realizing in-house algorithm-driven free fibula flap set up within 24 hours: a pilot study evaluating accuracy with open-source tools.
العنوان: | Realizing in-house algorithm-driven free fibula flap set up within 24 hours: a pilot study evaluating accuracy with open-source tools. |
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المؤلفون: | Vollmer A; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Saravi B; Department of Orthopedics and Trauma Surgery, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA,United States., Breitenbuecher N; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Mueller-Richter U; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Straub A; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Šimić L; Faculty of Electrical Engineering, Computer Science and Information Technology Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia., Kübler A; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Vollmer M; Department of Oral and Maxillofacial Surgery, Tuebingen University Hospital, Tuebingen, Germany., Gubik S; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Volland J; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Hartmann S; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany., Brands RC; Department of Oral and Maxillofacial Plastic Surgery, University Hospital of Würzburg, Würzburg, Germany. |
المصدر: | Frontiers in surgery [Front Surg] 2023 Dec 15; Vol. 10, pp. 1321217. Date of Electronic Publication: 2023 Dec 15 (Print Publication: 2023). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101645127 Publication Model: eCollection Cited Medium: Print ISSN: 2296-875X (Print) Linking ISSN: 2296875X NLM ISO Abbreviation: Front Surg Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Media S.A., [2014]- |
مستخلص: | Objective: This study aims to critically evaluate the effectiveness and accuracy of a time safing and cost-efficient open-source algorithm for in-house planning of mandibular reconstructions using the free osteocutaneous fibula graft. The evaluation focuses on quantifying anatomical accuracy and assessing the impact on ischemia time. Methods: A pilot study was conducted, including patients who underwent in-house planned computer-aided design and manufacturing (CAD/CAM) of free fibula flaps between 2021 and 2023. Out of all patient cases, we included all with postoperative 3D imaging in the study. The study utilized open-source software tools for the planning step, and three-dimensional (3D) printing techniques. The Hausdorff distance and Dice coefficient metrics were used to evaluate the accuracy of the planning procedure. Results: The study assessed eight patients (five males and three females, mean age 61.75 ± 3.69 years) with different diagnoses such as osteoradionecrosis and oral squamous cell carcinoma. The average ischemia time was 68.38 ± 27.95 min. For the evaluation of preoperative planning vs. the postoperative outcome, the mean Hausdorff Distance was 1.22 ± 0.40. The Dice Coefficients yielded a mean of 0.77 ± 0.07, suggesting a satisfactory concordance between the planned and postoperative states. Dice Coefficient and Hausdorff Distance revealed significant correlations with ischemia time (Spearman's rho = -0.810, p = 0.015 and Spearman's rho = 0.762, p = 0.028, respectively). Linear regression models adjusting for disease type further substantiated these findings. Conclusions: The in-house planning algorithm not only achieved high anatomical accuracy, as reflected by the Dice Coefficients and Hausdorff Distance metrics, but this accuracy also exhibited a significant correlation with reduced ischemia time. This underlines the critical role of meticulous planning in surgical outcomes. Additionally, the algorithm's open-source nature renders it cost-efficient, easy to learn, and broadly applicable, offering promising avenues for enhancing both healthcare affordability and accessibility. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Vollmer, Saravi, Breitenbuecher, Mueller-Richter, Straub, Šimić, Kübler, Vollmer, Gubik, Volland, Hartmann and Brands.) |
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فهرسة مساهمة: | Keywords: computer-aided design and manufacturing (CAD/CAM); free osteocutaneous fibula graft; ischemia time; mandibular reconstruction; preoperative planning |
تواريخ الأحداث: | Date Created: 20240101 Latest Revision: 20240103 |
رمز التحديث: | 20240103 |
مُعرف محوري في PubMed: | PMC10755006 |
DOI: | 10.3389/fsurg.2023.1321217 |
PMID: | 38162091 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2296-875X |
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DOI: | 10.3389/fsurg.2023.1321217 |