Year: 2025
Type: article
Abstract: Aim – to develop a three-stage algorithm for maxillary reconstruction with the Autoplan software suite to improve the results of surgical treatment. Material and methods. 110 patients with maxillary defects were included in the study and were divided into the main (60) and control (50) groups. The three-stage algorithm and the Autoplan software suite were used to perform reconstructive procedures only in the main group. All the postoperative results were assessed in a period of six months after the surgery. Results. Good aesthetic result was noted in 29 (48.33%) cases in the main group and in 17 (34%) cases in the control group (p0.001). The differences between the main and control groups in functional results are statistically significant (p0.05): good speech quality: 31 (86.11%) in the main group, 22 (78.57%) in the control group (p=0,047). Diet without limitations: main group, 26 cases (72.22%), control group, 18 cases (64.29%) (p=0,042). The mean time of the reconstructive stage using scapular flap: main group, 210 (35) minutes, control group, 300 (35) minutes (time reduction by 30 (13.4)%; fibular flap: main group, 180 (16) minutes, control group, 260 (36) minutes (time reduction by 30.77 (11.2)%; ALT flap: main group, 175 (17) minutes, control group, 220 (33) minutes (time reduction by 20.45 (13.3)%; radial flap: main group, 130 (12) minutes, control group, 170 (12) minutes (time reduction by 23.53 (8.1)% (p0,001). Conclusion. It can be concluded that incorporation of additive technologies, personalized attachment systems, and preoperative planning are crucial components of contemporary reconstructive surgery. This approach not only helps to streamline surgical procedures but also contributes to favorable functional and aesthetic outcomes.
DOI: 10.35693/sim643139
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4407174624