The Deep Circumflex Iliac Artery Flap for Mandibular Reconstruction and Donor Site Reconstruction with a Patient-Specific Implant: A Case Report
Jaw defects may occur due to various causes such as tumors, trauma, and diseases caused by infection such as osteomyelitis. Reconstruction of jaw defects has been improved by the free flaps and refined microvascular techniques. The deep circumflex iliac artery (DCIA) flap offers a large amount of bo...
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| Veröffentlicht in: | Applied sciences 2020-03, Vol.10 (5), p.1587, Article 1587 |
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| description | Jaw defects may occur due to various causes such as tumors, trauma, and diseases caused by infection such as osteomyelitis. Reconstruction of jaw defects has been improved by the free flaps and refined microvascular techniques. The deep circumflex iliac artery (DCIA) flap offers a large amount of bone for complex reconstructions of the mandible. However, several complications and adverse effects can occur, such as abnormal hip contour, hernia, severe bleeding tendency, gait disturbance, and hypoesthesia. To reduce these complications, the monocortical DCIA flap can be used, or iliac crest bone defects can be restored with titanium mesh. However, these methods have limitations when used to reduce hip contour reproduction and gait disturbance. In this study, we report a case of iliac bone reconstruction using a 3D-printed patient-specific implant to reduce donor site morbidity in the reconstruction of the DCIA flap in a patient with oral squamous carcinoma. |
| doi_str_mv | 10.3390/app10051587 |
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Reconstruction of jaw defects has been improved by the free flaps and refined microvascular techniques. The deep circumflex iliac artery (DCIA) flap offers a large amount of bone for complex reconstructions of the mandible. However, several complications and adverse effects can occur, such as abnormal hip contour, hernia, severe bleeding tendency, gait disturbance, and hypoesthesia. To reduce these complications, the monocortical DCIA flap can be used, or iliac crest bone defects can be restored with titanium mesh. However, these methods have limitations when used to reduce hip contour reproduction and gait disturbance. In this study, we report a case of iliac bone reconstruction using a 3D-printed patient-specific implant to reduce donor site morbidity in the reconstruction of the DCIA flap in a patient with oral squamous carcinoma.</description><identifier>ISSN: 2076-3417</identifier><identifier>EISSN: 2076-3417</identifier><identifier>DOI: 10.3390/app10051587</identifier><language>eng</language><publisher>BASEL: Mdpi</publisher><subject>3d printing ; Biomedical materials ; Bones ; Case reports ; Chemistry ; Chemistry, Multidisciplinary ; Complications ; computer-assisted surgery ; Contours ; dcia flap ; Defects ; Disturbance ; donor site morbidity ; Engineering ; Engineering, Multidisciplinary ; Fractures ; Gait ; Hernia ; Iliac crest ; Mandible ; mandibular reconstruction ; Materials Science ; Materials Science, Multidisciplinary ; Microvasculature ; Morbidity ; Osteomyelitis ; Physical Sciences ; Physics ; Physics, Applied ; Reconstruction ; Science & Technology ; Shape ; Software ; Surgeons ; Technology ; Titanium ; Transplants & implants ; Trauma ; Tumors ; Veins & arteries</subject><ispartof>Applied sciences, 2020-03, Vol.10 (5), p.1587, Article 1587</ispartof><rights>2020. This work is licensed under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000525298100035</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c364t-c016e869f52fd2b6ca99c5a8654156257883d6eb51777ce2f10b303531b9b3b3</citedby><cites>FETCH-LOGICAL-c364t-c016e869f52fd2b6ca99c5a8654156257883d6eb51777ce2f10b303531b9b3b3</cites><orcidid>0000-0002-7513-4404</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,865,2103,2115,27929,27930,28253</link.rule.ids></links><search><creatorcontrib>Kim, Hyo Joon</creatorcontrib><creatorcontrib>Moon, Seong Yong</creatorcontrib><title>The Deep Circumflex Iliac Artery Flap for Mandibular Reconstruction and Donor Site Reconstruction with a Patient-Specific Implant: A Case Report</title><title>Applied sciences</title><addtitle>APPL SCI-BASEL</addtitle><description>Jaw defects may occur due to various causes such as tumors, trauma, and diseases caused by infection such as osteomyelitis. Reconstruction of jaw defects has been improved by the free flaps and refined microvascular techniques. The deep circumflex iliac artery (DCIA) flap offers a large amount of bone for complex reconstructions of the mandible. However, several complications and adverse effects can occur, such as abnormal hip contour, hernia, severe bleeding tendency, gait disturbance, and hypoesthesia. To reduce these complications, the monocortical DCIA flap can be used, or iliac crest bone defects can be restored with titanium mesh. However, these methods have limitations when used to reduce hip contour reproduction and gait disturbance. In this study, we report a case of iliac bone reconstruction using a 3D-printed patient-specific implant to reduce donor site morbidity in the reconstruction of the DCIA flap in a patient with oral squamous carcinoma.</description><subject>3d printing</subject><subject>Biomedical materials</subject><subject>Bones</subject><subject>Case reports</subject><subject>Chemistry</subject><subject>Chemistry, Multidisciplinary</subject><subject>Complications</subject><subject>computer-assisted surgery</subject><subject>Contours</subject><subject>dcia flap</subject><subject>Defects</subject><subject>Disturbance</subject><subject>donor site morbidity</subject><subject>Engineering</subject><subject>Engineering, Multidisciplinary</subject><subject>Fractures</subject><subject>Gait</subject><subject>Hernia</subject><subject>Iliac crest</subject><subject>Mandible</subject><subject>mandibular reconstruction</subject><subject>Materials Science</subject><subject>Materials Science, Multidisciplinary</subject><subject>Microvasculature</subject><subject>Morbidity</subject><subject>Osteomyelitis</subject><subject>Physical Sciences</subject><subject>Physics</subject><subject>Physics, Applied</subject><subject>Reconstruction</subject><subject>Science & Technology</subject><subject>Shape</subject><subject>Software</subject><subject>Surgeons</subject><subject>Technology</subject><subject>Titanium</subject><subject>Transplants & implants</subject><subject>Trauma</subject><subject>Tumors</subject><subject>Veins & arteries</subject><issn>2076-3417</issn><issn>2076-3417</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>DOA</sourceid><recordid>eNqNkVFvFCEQx4nRxObsk1-AxEezCssBi2-XrbWX1GjsvW-AHSyXvQWBTe238COX80xtfJKXIcx__sPMD6HXlLxjTJH3OkZKCKe8k8_QWUukaNiayudP7i_Rec57Uo-irKPkDP3a3QK-AIi498kuBzfBT7ydvLZ4kwqke3w56YhdSPiznkdvlkkn_A1smHNJiy0-zLgm8EWYq-bGF_g3e-fLLdb4qy4e5tLcRLDeeYu3hzjpuXzAG9zrfCyLIZVX6IXTU4bzP3GFdpcfd_1Vc_3l07bfXDeWiXVpLKECOqEcb93YGmG1UpbrTvA15aLlsuvYKMBwKqW00DpKDCOMM2qUYYat0PZkOwa9H2LyB53uh6D98PshpO-DTsXbCQbTAq9rNRooXwvFOy5HxSk4YYlgo6peb05eMYUfC-Qy7MOS5vr7oWWSUEmF5FX19qSyKeScwD12pWQ4AhyeAPyrvgMTXLZ1dRYeKypA3vJWVYTkONQKdf-v7n3RRzB9WObCHgA4iK3a</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Kim, Hyo Joon</creator><creator>Moon, Seong Yong</creator><general>Mdpi</general><general>MDPI AG</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7513-4404</orcidid></search><sort><creationdate>20200301</creationdate><title>The Deep Circumflex Iliac Artery Flap for Mandibular Reconstruction and Donor Site Reconstruction with a Patient-Specific Implant: A Case Report</title><author>Kim, Hyo Joon ; Moon, Seong Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-c016e869f52fd2b6ca99c5a8654156257883d6eb51777ce2f10b303531b9b3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>3d printing</topic><topic>Biomedical materials</topic><topic>Bones</topic><topic>Case reports</topic><topic>Chemistry</topic><topic>Chemistry, Multidisciplinary</topic><topic>Complications</topic><topic>computer-assisted surgery</topic><topic>Contours</topic><topic>dcia flap</topic><topic>Defects</topic><topic>Disturbance</topic><topic>donor site morbidity</topic><topic>Engineering</topic><topic>Engineering, Multidisciplinary</topic><topic>Fractures</topic><topic>Gait</topic><topic>Hernia</topic><topic>Iliac crest</topic><topic>Mandible</topic><topic>mandibular reconstruction</topic><topic>Materials Science</topic><topic>Materials Science, Multidisciplinary</topic><topic>Microvasculature</topic><topic>Morbidity</topic><topic>Osteomyelitis</topic><topic>Physical Sciences</topic><topic>Physics</topic><topic>Physics, Applied</topic><topic>Reconstruction</topic><topic>Science & Technology</topic><topic>Shape</topic><topic>Software</topic><topic>Surgeons</topic><topic>Technology</topic><topic>Titanium</topic><topic>Transplants & implants</topic><topic>Trauma</topic><topic>Tumors</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hyo Joon</creatorcontrib><creatorcontrib>Moon, Seong Yong</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>CrossRef</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Applied sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hyo Joon</au><au>Moon, Seong Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Deep Circumflex Iliac Artery Flap for Mandibular Reconstruction and Donor Site Reconstruction with a Patient-Specific Implant: A Case Report</atitle><jtitle>Applied sciences</jtitle><stitle>APPL SCI-BASEL</stitle><date>2020-03-01</date><risdate>2020</risdate><volume>10</volume><issue>5</issue><spage>1587</spage><pages>1587-</pages><artnum>1587</artnum><issn>2076-3417</issn><eissn>2076-3417</eissn><abstract>Jaw defects may occur due to various causes such as tumors, trauma, and diseases caused by infection such as osteomyelitis. Reconstruction of jaw defects has been improved by the free flaps and refined microvascular techniques. The deep circumflex iliac artery (DCIA) flap offers a large amount of bone for complex reconstructions of the mandible. However, several complications and adverse effects can occur, such as abnormal hip contour, hernia, severe bleeding tendency, gait disturbance, and hypoesthesia. To reduce these complications, the monocortical DCIA flap can be used, or iliac crest bone defects can be restored with titanium mesh. However, these methods have limitations when used to reduce hip contour reproduction and gait disturbance. 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| subjects | 3d printing Biomedical materials Bones Case reports Chemistry Chemistry, Multidisciplinary Complications computer-assisted surgery Contours dcia flap Defects Disturbance donor site morbidity Engineering Engineering, Multidisciplinary Fractures Gait Hernia Iliac crest Mandible mandibular reconstruction Materials Science Materials Science, Multidisciplinary Microvasculature Morbidity Osteomyelitis Physical Sciences Physics Physics, Applied Reconstruction Science & Technology Shape Software Surgeons Technology Titanium Transplants & implants Trauma Tumors Veins & arteries |
| title | The Deep Circumflex Iliac Artery Flap for Mandibular Reconstruction and Donor Site Reconstruction with a Patient-Specific Implant: A Case Report |
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