Baecher, Helena and Hoch, Cosima C. and Knoedler, Samuel and Maheta, Bhagvat J. and Kauke-Navarro, Martin and Safi, Ali-Farid and Alfertshofer, Michael and Knoedler, Leonard (2023) From bench to bedside - current clinical and translational challenges in fibula free flap reconstruction. FRONTIERS IN MEDICINE, 10: 1246690. ISSN 2296-858X
Full text not available from this repository. (Request a copy)Abstract
Fibula free flaps (FFF) represent a working horse for different reconstructive scenarios in facial surgery. While FFF were initially established for mandible reconstruction, advancements in planning for microsurgical techniques have paved the way toward a broader spectrum of indications, including maxillary defects. Essential factors to improve patient outcomes following FFF include minimal donor site morbidity, adequate bone length, and dual blood supply. Yet, persisting clinical and translational challenges hamper the effectiveness of FFF. In the preoperative phase, virtual surgical planning and artificial intelligence tools carry untapped potential, while the intraoperative role of individualized surgical templates and bioprinted prostheses remains to be summarized. Further, the integration of novel flap monitoring technologies into postoperative patient management has been subject to translational and clinical research efforts. Overall, there is a paucity of studies condensing the body of knowledge on emerging technologies and techniques in FFF surgery. Herein, we aim to review current challenges and solution possibilities in FFF. This line of research may serve as a pocket guide on cutting-edge developments and facilitate future targeted research in FFF.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PATIENT-SPECIFIC IMPLANTS; OSTEOCUTANEOUS FREE-FLAP; DONOR-SITE MORBIDITY; MANDIBULAR RECONSTRUCTION; AUGMENTED REALITY; ORTHOGNATHIC SURGERY; COMPLICATIONS; DESIGN; PLATE; ACCURACY; fibula free flap; mandibular reconstruction; artificial intelligence; 3D printing; computer-aided design; CAM; bioprinting |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 May 2024 08:46 |
| Last Modified: | 14 May 2024 09:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60261 |
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