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Article Open Access

Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes

  • Authors:
    • Hitoshi Yoshimura
    • Shinpei Matsuda
    • Seigo Ohba
    • Yoshiki Minegishi
    • Kunihiro Nakai
    • Shigeharu Fujieda
    • Kazuo Sano
  • View Affiliations / Copyright

    Affiliations: Department of Dentistry and Oral Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan, Department of Regenerative Oral Surgery, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan, Department of Plastic and Reconstructive Surgery, University of Fukui Hospital, Fukui, Japan, Department of Otorhinolaryngology Head and Neck Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
    Copyright: © Yoshimura et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 5471-5483
    |
    Published online on: September 7, 2017
       https://doi.org/10.3892/ol.2017.6909
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Abstract

The vascularized fibular flap is one of the standard treatment choices for the reconstruction of the mandible; however, the consequences of condylar restoration have not previously been reported. The use of three‑dimensional models allows for a more predictable reconstruction. The purpose of the present study was to assess the outcome of stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap. A total of 5 patients underwent mandibular resection including the condyle and immediate reconstruction with a vascularized fibular flap. A stereolithographic model was used to determine the length and angle of the bony reconstruction. In all patients, the temporomandibular joint (TMJ) disc was preserved, and the contoured fibular end was placed directly into the glenoid fossa under the TMJ disc. To investigate the morphological and functional outcomes, radiographic and clinical examinations were performed, and a food scale questionnaire was administered. The mean period of follow‑up was 23 months, and all the flaps were viable. Cosmetic results were generally satisfactory. Radiographic assessment revealed that the end of the fibular graft became round‑shaped. None of the patients had abnormal bone resorption, dislocation or ankylosis. The mean value of maximum mouth opening was 31 mm. No patients exhibited difficulties with occlusion. All patients recovered their ability to ingest nearly the same foods that were ingested prior to surgery. The stereolithographic model‑assisted reconstruction of mandibular condyle with a vascularized fibular flap is therefore useful for morphological and functional reconstructions of the hemimandible, including condylar defects.
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Copy and paste a formatted citation
Spandidos Publications style
Yoshimura H, Matsuda S, Ohba S, Minegishi Y, Nakai K, Fujieda S and Sano K: Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes. Oncol Lett 14: 5471-5483, 2017.
APA
Yoshimura, H., Matsuda, S., Ohba, S., Minegishi, Y., Nakai, K., Fujieda, S., & Sano, K. (2017). Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes. Oncology Letters, 14, 5471-5483. https://doi.org/10.3892/ol.2017.6909
MLA
Yoshimura, H., Matsuda, S., Ohba, S., Minegishi, Y., Nakai, K., Fujieda, S., Sano, K."Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes". Oncology Letters 14.5 (2017): 5471-5483.
Chicago
Yoshimura, H., Matsuda, S., Ohba, S., Minegishi, Y., Nakai, K., Fujieda, S., Sano, K."Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes". Oncology Letters 14, no. 5 (2017): 5471-5483. https://doi.org/10.3892/ol.2017.6909
Copy and paste a formatted citation
x
Spandidos Publications style
Yoshimura H, Matsuda S, Ohba S, Minegishi Y, Nakai K, Fujieda S and Sano K: Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes. Oncol Lett 14: 5471-5483, 2017.
APA
Yoshimura, H., Matsuda, S., Ohba, S., Minegishi, Y., Nakai, K., Fujieda, S., & Sano, K. (2017). Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes. Oncology Letters, 14, 5471-5483. https://doi.org/10.3892/ol.2017.6909
MLA
Yoshimura, H., Matsuda, S., Ohba, S., Minegishi, Y., Nakai, K., Fujieda, S., Sano, K."Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes". Oncology Letters 14.5 (2017): 5471-5483.
Chicago
Yoshimura, H., Matsuda, S., Ohba, S., Minegishi, Y., Nakai, K., Fujieda, S., Sano, K."Stereolithographic model‑assisted reconstruction of the mandibular condyle with a vascularized fibular flap following hemimandibulectomy: Evaluation of morphological and functional outcomes". Oncology Letters 14, no. 5 (2017): 5471-5483. https://doi.org/10.3892/ol.2017.6909
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