Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: CAD/CAM group: Preoperative virtual surgical planning is done and 3D printed cutting guides are obtained. Both the resecting team and reconstruction team shall start the procedure simul
Sponsors
AIIMS Bhubaneswar
Eligibility
Inclusion criteria
Inclusion criteria: � Patients aged 18 years and above. � Patients requiring mandibular resection for various benign and malignant conditions of oral cavity. � Planned reconstruction using either CAD/CAM assisted or conventional free fibular flap technique. � Willingness to comply with the study protocol, including follow-up visits and assessments. � Adequate medical fitness for surgery as assessed by the treating surgical team. � Availability of preoperative and postoperative imaging data for evaluation. � Willingness to participate in long-term follow-up assessments as required by the study protocol.
Exclusion criteria
Exclusion criteria: � Patients with distant metastasis of oral carcinoma. � Previous history of head and neck radiation therapy. � Patients with significant medical comorbidities that may increase the risk of surgical complications or affect long-term outcomes. � Inability to undergo either CAD/CAM assisted or conventional free fibular flap reconstruction due to anatomical or surgical contraindications. � Patients with peronea arteria magna. � Patients unwilling to undergo the required follow-up assessments as per the study protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Functional outcomes- Mandible Occlusion Structural outcome- postoperative 3D CT Gonial angles, Inter gonial distance, Intercondylar distance and AP distance comparison with preoperative 3D CT Aesthetic outcome by comparison of preop and postoperative facial photographs on VASTimepoint: 1 week and 6 weeks following surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| - To analyze and compare mean operative time, mean ischemia time between both groups. - To assess the early and late post operative complications such as flap congestion, need for re-operation, flap failure, fistula formation, plate extrusion, bleeding, and infection in both the groups.Timepoint: 0-3 months | — |
Countries
India
Contacts
Public ContactSurya Yashaswi PVS
AIIMS Bhubaneswar
Outcome results
None listed