CC-BY-NC-ND 4.0 · CMTR Open 2017; 01(01): e35-e42
DOI: 10.1055/s-0037-1606835
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Mandibular Reconstruction Using ProPlan CMF: A Review

Ryo Sasaki
1  Department of Craniomaxillofacial and Oral Surgery, Medical University of Innsbruck, Innsbruck, Austria
2  Department of Oral and Maxillofacial Surgery, Tokyo Women's Medical University, School of Medicine, Tokyo, Japan
,
Michael Rasse
1  Department of Craniomaxillofacial and Oral Surgery, Medical University of Innsbruck, Innsbruck, Austria
› Author Affiliations
Further Information

Publication History

30 April 2017

09 August 2017

Publication Date:
28 November 2017 (online)

Abstract

ProPlan CMF (Depuy Synthes, Solothurn, Switzerland, and Materialise, Leuven, Belgium) is a computer-aided surgical virtual planning service using an online meeting with professional medical engineers and transfers patient-specific surgical guide to the virtual plan. Moreover, prebent reconstruction plates or patient-specific computer-aided manufacturing-fabricated reconstruction can also be used. This service started in 2011. Currently, it is widely used in Europe. Current status of mandibular reconstruction with ProPlan CMF vertical planning service with the surgical guide was reviewed. The accuracy was excellent in terms of contact of the osteotomized parts and the contact to the remaining skeleton. The authors found that currently, a small number of reports regarding the mandibular reconstruction with virtual planning service and surgical guides are available. These reports also have a small number of cases and short-term follow-up results. In this situation, this review revealed that (1) mainly the resection guides, cutting guides, and patient-specific mandible reconstruction plates were adequately well fitted to the surgical site intraoperatively, (2) the ischemic time might be more reduced than that of the conventional surgery (3) the accuracy of computer-assisted surgery in the mandibular reconstruction was clinically acceptable, and (4) condyle positions after the computer-assisted surgery was mainly normal. The higher additional cost than that of the conventional technique is presently an issue. Large-scale clinical studies and long-term follow-up studies are demanded.

Funding

None.


Ethical Approval

Not required.