Work

Reconstruction of extensive mandibular defects using deep circumflex iliac artery flap surgery and 3D-printed guides: a case report

Year: 2024

Type: article

Abstract: This case report describes mandibular reconstruction using a deep circumflex iliac artery (DCIA) flap, incorporating virtual surgical planning and 3D-printed surgical guides, following tumor resection.A 49-year-old male presented with an ulcerative lesion in the left posterior mandible.Following a diagnosis of squamous cell carcinoma (pT4aN2bM0), selective neck dissection (level I-IV) and segmental mandibulectomy were performed.Virtual surgical planning based on computed tomography images enabled the creation of patient-specific surgical guides.Reconstruction of the mandible and soft tissue was achieved using a DCIA flap that included the internal oblique muscle.The procedure lasted 605 minutes, with an ischemia time of 43 minutes.During a one-year follow-up, no complications or recurrences occurred, and functional and aesthetic outcomes were satisfactory.DCIA flap reconstruction with virtual surgical planning and custom surgical guides demonstrates effectiveness as a treatment for extensive mandibular defects.

Source: Oral Biology Research

DOI: 10.21851/obr.48.04.202412.123

Authors: Hyo-Joon Kim, Seong-Yong Moon

Institution: Chosun University

Language: English

Topic: Reconstructive Surgery and Microvascular Techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

Funder: Ministry of SMEs and Startups