RT Journal Article
T1 Clinical Outcomes and Cost Analysis of Fibula Free Flaps: A Retrospective Comparison of CAD/CAM versus Conventional Technique
A1 Rodríguez Arias, Juan Pablo
A1 Tapia, Blanca
A1 Pampín Martínez, Marta María
A1 Morán, María José
A1 Gonzalez, Javier
A1 Barajas, Maria
A1 Castillo, Jose Luis del
A1 Navarro Cuéllar, Carlos
A1 Cebrián, José Luis
AB (1) Background: A decrease in operative time can not only improve patient outcomes through a reduction in the risk of developing complications but can also result in cost savings. The aim of this study is to determine whether there an intraoperative time gain can be achieved by using the preoperative virtual planning of mandibular reconstruction using a free fibula flap compared with freehand plate bending and osteotomies. (2) Methods: A retrospective comparative study was carried out in the Oral and Maxillofacial Department of La Paz University Hospital, Madrid, Spain. The study compared 18 patients in the CAD/CAM group with 19 patients in the conventional freehand group. A comparison was made between the total surgical time, the comorbidities, and the hospital stay. The resource consumption was estimated using a cost analysis. (3) Results: Although CAD/CAM was a statistically more expensive procedure in the perioperative phase, no significant differences were observed in total health care costs between the two groups. There was a non-significant trend towards an increase in complications with conventional reconstruction plates compared to patient-specific plates (PSI). (4) Conclusions: CAD/CAM technology and a 3D printed cutting guide offer a significantly shorter surgical time, which is associated with a reduction in hospital days, PACU days, and complications. The cost of CAD/CAM technology is comparable to that of the conventional freehand technique.
PB MDPI
SN 2075-4426
YR 2022
FD 2022-06-07
LK https://hdl.handle.net/20.500.14352/72159
UL https://hdl.handle.net/20.500.14352/72159
LA eng
DS Docta Complutense
RD 4 abr 2025