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Novel Plate Design to Improve Mandibular and Maxillary Reconstruction with the Osteocutaneous Fibula Flap

Smith, Miller H., DDS, MD*; Schrag, Christiaan H., MD; Chandarana, Shamir P., MSc, MD; Cobb, J. Graham, MSc, DDS, MD*; Matthews, T. Wayne, MD; Mckenzie, C. David, MD; Matthews, Jennifer L, MSc, MD

Plastic and Reconstructive Surgery – Global Open: January 4, 2019 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000002094
Latest Articles: PDF Only

Summary: Virtual surgical planning (VSP) has improved the accuracy and efficiency of craniofacial reconstruction using the osteocutaneous free fibula flap. Despite this, challenges remain in translating the VSP to a real-world construct due to small changes that can occur after osteotomies of the mandible or maxilla. Poor execution of the VSP can lead to malocclusion, undesirable aesthetics, or poor bony contact at the sites of osteosynthesis. We describe a novel technique using Selective LASER Melted plates to achieve maximum control and accuracy of complex, virtually planned reconstructions of the mandible and maxilla.

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From the *Section of Oral Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada

Section of Plastic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada

Section of Otolaryngology, Department of Surgery, University of Calgary, Calgary, AB, Canada.

Published online 4 January 2019.

Received for publication September 5, 2018; accepted November 7, 2018.

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Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Jennifer L. K. Matthews, MSc, MD, FRCS(C), #200, 2004 14th Street N.W., Calgary, Canada AB T2M 3N3, E-mail:

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.