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Feasibility of preoperative planning using anatomical facsimile models for mandibular reconstruction.doc

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Feasibility of preoperative planning using anatomical facsimile models for mandibular reconstruction

Head Face Medicine BioMedCentral Methodology Open Access Feasibility of preoperative planning using anatomical facsimile models for mandibular reconstruction Corrado Toro*1, Massimo Robiony?1, Fabio Costa?1, Nicoletta Zerman?2 and Massimo Politi?1 Address: 1Department of Maxillofacial Surgery, University of Udine, Udine, Italy and 2Institute of Oral Pathology, University of Ferrara, Ferrara, Italy Email: Corrado Toro* - corrado.toro@poste.it; Massimo Robiony - massimo.robiony@med.uniud.it; Fabio Costa - maxil2@med.uniud.it; Nicoletta Zerman - maxil1@med.uniud.it; Massimo Politi - m.politi@med.uniud.it * Corresponding author ?Equal contributors Published: 15 January 2007 Received: 09 August 2006 Accepted: 15 January 2007 Head Face Medicine 2007, 3:5 doi:10.1186/1746-160X-3-5 This article is available from: /content/3/1/5 ? 2007 Toro et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Functional and aesthetic mandibular reconstruction after ablative tumor surgery continues to be a challenge even after the introduction of microvascular bone transfer. Complex microvascular reconstruction of the resection site requires accurate preoperative planning. In the recent past, bone graft and fixation plates had to be reshaped during the operation by trial and error, often a time-consuming procedure. This paper outlines the possibilities and advantages of the clinical application of anatomical facsimile models in the preoperative planning of complex mandibular reconstructions after tumor resections. Methods: From 2003 to 2005, in the Department of Maxillofacial Surgery of the University of Udine, a protocol was applied with the preoperative realization of stereolithographic models for