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.) |
| References: | Methods Ecol Evol. 2021 Nov;12(11):2129-2144. (PMID: 35874971) J Craniomaxillofac Surg. 2017 Aug;45(8):1246-1250. (PMID: 28606440) Bioengineering (Basel). 2023 May 17;10(5):. (PMID: 37237673) J Craniofac Surg. 2019 Nov-Dec;30(8):2319-2323. (PMID: 31261320) Ann Plast Surg. 2020 Jan;84(1):117-122. (PMID: 31633539) Plast Reconstr Surg Glob Open. 2016 Jul 15;4(7):e805. (PMID: 27536484) J Stomatol Oral Maxillofac Surg. 2018 Dec;119(6):455-460. (PMID: 30098447) J Craniomaxillofac Surg. 2016 Jul;44(7):795-9. (PMID: 27193477) J Craniomaxillofac Surg. 2016 Jun;44(6):697-702. (PMID: 27107476) J Clin Med. 2020 Dec 20;9(12):. (PMID: 33419329) Int J Oral Maxillofac Surg. 2017 Aug;46(8):946-957. (PMID: 28433213) Ann Med Surg (Lond). 2021 Jan 05;62:37-42. (PMID: 33489114) Eur Radiol Exp. 2021 Jul 28;5(1):30. (PMID: 34318382) Front Oncol. 2021 Sep 24;11:731336. (PMID: 34631563) Magn Reson Imaging. 2012 Nov;30(9):1323-41. (PMID: 22770690) Acta Oncol. 2022 Jun;61(6):672-679. (PMID: 35139735) Biomed Microdevices. 2018 Aug 4;20(3):65. (PMID: 30078059) Acta Otorhinolaryngol Ital. 2020 Apr;40(2):138-143. (PMID: 32469008) J Plast Reconstr Aesthet Surg. 2019 Sep;72(9):1465-1477. (PMID: 31324403) J Craniofac Surg. 2020 Oct;31(7):1928-1932. (PMID: 32649531) J Stomatol Oral Maxillofac Surg. 2017 Jun;118(3):197-202. (PMID: 28365396) J Craniomaxillofac Surg. 2014 Oct;42(7):1460-4. (PMID: 24942093) Oral Oncol. 2020 Dec;111:104914. (PMID: 32712577) J Mater Sci Mater Med. 2018 Feb 2;29(3):23. (PMID: 29396606) Am J Orthod Dentofacial Orthop. 2015 May;147(5 Suppl):S195-204. (PMID: 25925649) Eur Ann Otorhinolaryngol Head Neck Dis. 2020 Dec;137(6):501-505. (PMID: 32139198) ISRN Surg. 2011;2011:824251. (PMID: 22229103) Eur Arch Otorhinolaryngol. 2019 Dec;276(12):3477-3486. (PMID: 31501989) J Craniomaxillofac Surg. 2015 Jan;43(1):28-33. (PMID: 25434288) J Oral Maxillofac Surg. 2016 Jul;74(7):1503.e1-1503.e10. (PMID: 27000408) IEEE J Biomed Health Inform. 2020 Jul;24(7):1837-1857. (PMID: 32609615) Surg Oncol. 2018 Jun;27(2):200-207. (PMID: 29937172) PLoS One. 2018 May 10;13(5):e0196378. (PMID: 29746490) Int J Oral Maxillofac Surg. 2023 Jun 28;:. (PMID: 37391321) Front Oncol. 2023 May 09;13:1167071. (PMID: 37228490) |
| 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 |
Full Text Finder | تدمد: | 2296-875X |
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| DOI: | 10.3389/fsurg.2023.1321217 |