From: Condyle dislocation following mandibular reconstruction using a fibula free flap: complication cases
Case | Age/sex | Pathology | Region | Fixation method | VSP CAD/CAM surgical guide | Mandibulectomy and reconstruction area | Estimated cause of condylar displacement |
---|---|---|---|---|---|---|---|
1 | 36 M | MNST | Mandible, Lt. | Reconstruction plate | Fibula cutting/bending guide, RP | Right mandibular canine—left ascending ramus | Immediately postoperative sag of left condylar segment |
2 | 43 M | SCC, stage IVa | Mandible, Rt. | Reconstruction plate | Fibula cutting/bending guide, RP | Right mandibular premolar—right condyle | Complication of reconstruction plate |
3 | 47 M | SCC, stage IVa | Mandible, Lt. | Miniplate | Fibula cutting/bending guide, RP | Left mandibular molar—left ascending ramus | Inappropriate height of ramus |
4 | 61 F | SCC, stage III | Mandible, Rt. | Miniplate | Fibula cutting/bending guide, RP | Right mandibular incisor—right ascending ramus | Instability and the stress-related fatigue plate fracture |
5 | 70 M | SCC, stage IVa | Mandible, Rt. | Miniplate | Fibula cutting/bending guide, RP | Right mandibular premolar—right ascending ramus | Fibular bone destruction of junction area |