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Ivashkov V.Yu.

Samara State Medical University

Denisenko A.S.

Samara State Medical University

Kolsanov A.V.

Samara State Medical University

Verbo E.V.

Russian Medical Academy for Continuous Professional Education

Nikolaenko A.N.

Samara State Medical University

Mandible reconstruction using the Autoplan software

Authors:

Ivashkov V.Yu., Denisenko A.S., Kolsanov A.V., Verbo E.V., Nikolaenko A.N.

More about the authors

Journal: Plastic Surgery and Aesthetic Medicine. 2024;(4‑2): 58‑65

DOI: 10.17116/plast.hirurgia202404258

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Table of contents

MANDIBLE RECONSTRUCTION USING THE AUTOPLAN SOFTWARE
MANDIBLE RECONSTRUCTION USING THE AUTOPLAN SOFTWARE

To cite this article:

Ivashkov VYu, Denisenko AS, Kolsanov AV, Verbo EV, Nikolaenko AN. Mandible reconstruction using the Autoplan software. Plastic Surgery and Aesthetic Medicine. 2024;(4‑2):58‑65. (In Russ., In Engl.)
https://doi.org/10.17116/plast.hirurgia202404258

Подписка 2025-2 (Plastic Surgery and Aesthetic Medicine)
 
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OBJECTIVE

To improve the functional and aesthetic results of surgical treatment of combined facial defects using additive technologies and the Autoplan software.

MATERIAL AND METHODS

The study included 70 patients with acquired mandibular defects. Patients were divided into two groups: a main group (n=40) and a control group (n=30). A three-stage algorithm in combination with the “Autoplan” software were used to plan the reconstructive procedure in the main group. Postoperative result assessment was carried out 6 months after the reconstructive procedure and included the following parameters: functional and aesthetic result, operation time, number of postoperative complications.

RESULTS

In the main group, the good aesthetic result was achieved in 32 (80%) cases, in the control group — in 71 (70%) cases (p<0.05). In the main group, good speech quality was achieved in 34 (85%) cases, in the control group — 22 (73.3%) cases (p<0.05). In the main group, an unrestricted diet was noted in 34 (87.5%) cases, in the control — 24 (80%) cases (p<0.05). The average surgery time in the main group was 475±45 minutes, in the control group 580±40 minutes: reduction in time is 18.1% (p<0.05). The number of complications from the flap and recipient site in the main group was 14 (35%) cases, in the control — 12 (40%) cases.

CONCLUSION

We can assume that the use of additive technologies, individualized fixation systems and preoperative planning are an integral part of modern reconstructive surgery, which in practice allows to reduce the operation time, as well as to obtain good functional and aesthetic results.

Keywords:

reconstruction
additive technologies
Autoplan software
microsurgery
autologous flaps

Authors:

Ivashkov V.Yu.

Samara State Medical University

Denisenko A.S.

Samara State Medical University

Kolsanov A.V.

Samara State Medical University

Verbo E.V.

Russian Medical Academy for Continuous Professional Education

Nikolaenko A.N.

Samara State Medical University

Received:

01.09.2024

Accepted:

28.09.2024

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