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.