RT Journal Article
T1 In-and-out technique: An In-house efficient predictive hole fabrication workflow.
A1 Asensio Salazar, Javier
A1 Rivero Calle, Alvaro
A1 Olavarría Montes, Eduardo
A1 Delgado Fernández, Alejandro
A1 Zubillaga Rodríguez, Ignacio
A1 Gutiérrez Díaz, Ramon
A1 Sánchez Aniceto, Gregorio
AB Virtual surgical planning (VSP) and three-dimensional (3D) printing can increase precision and reduce surgical time in craniofacial reconstruction. However, the elevated cost and manufacturing time of outsourced workflows is increasing the development of in-house solutions. One of the main challenges in in-house work- flows is to create cutting guides that hold plate position information. This is due to the fact that hospitals usually lack the infrastructure required to design and 3D print custom-made plates. Including plate-positioning information in resection guides is especially relevant in complex reconstructions and when tumor extension limits plate placement before resection. Current in-house workflows revolve around the idea of 3D scanning the bent plate’s shape and to fuse it with the VSP. The goal of this article is to share our technique to transfer plate position information to resec- tion guides. Our protocol uses a 3D model of the reconstruction as an intermediate step to transfer the plate position of a bent stock reconstruction plate to cutting guides. Two patients who required mandibular reconstruction with fibula flap are presented to illustrate the technique. This workflow requires a 3D-printed model of the desired outcome, cutting guides, and a stock plate. Results were satisfactory in terms of cutting location and angulation, plate adaptation and condylar position. This technique allows for a simple, safe, cheap, and quick alternative to add recon- struction plate information to cutting guides.
PB Lippincott, Williams & Wilkins
SN 2169-7574
YR 2024
FD 2024-02-09
LK https://hdl.handle.net/20.500.14352/136734
UL https://hdl.handle.net/20.500.14352/136734
LA eng
NO Asensio-Salazar, Javier MD, MSc*; Rivero Calle, Alvaro MD*; Olavarría Montes, Eduardo MD*; Delgado Fernández, Alejandro MD†; Zubillaga Rodríguez, Ignacio MD, PhD*; Gutiérrez Díaz, Ramon MD*; Sánchez Aniceto, Gregorio MD, PhD*. In-and-out Technique: An In-house Efficient Predictive Hole Fabrication Workflow. Plastic & Reconstructive Surgery-Global Open 12(4):p e5702, April 2024. | DOI: 10.1097/GOX.0000000000005702
DS Docta Complutense
RD 10 jun 2026