Baecher, Helena; Hoch, Cosima C; Knoedler, Samuel; Maheta, Bhagvat J; Kauke-Navarro, Martin; Safi, Ali-Farid; Alfertshofer, Michael; Knoedler, Leonard (2023). From bench to bedside - current clinical and translational challenges in fibula free flap reconstruction. Frontiers in medicine, 10(1246690), p. 1246690. Frontiers 10.3389/fmed.2023.1246690
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Fibula free flaps (FFF) represent a working horse for different reconstructive scenarios in facial surgery. While FFF were initially established for mandible reconstruction, advancements in planning for microsurgical techniques have paved the way toward a broader spectrum of indications, including maxillary defects. Essential factors to improve patient outcomes following FFF include minimal donor site morbidity, adequate bone length, and dual blood supply. Yet, persisting clinical and translational challenges hamper the effectiveness of FFF. In the preoperative phase, virtual surgical planning and artificial intelligence tools carry untapped potential, while the intraoperative role of individualized surgical templates and bioprinted prostheses remains to be summarized. Further, the integration of novel flap monitoring technologies into postoperative patient management has been subject to translational and clinical research efforts. Overall, there is a paucity of studies condensing the body of knowledge on emerging technologies and techniques in FFF surgery. Herein, we aim to review current challenges and solution possibilities in FFF. This line of research may serve as a pocket guide on cutting-edge developments and facilitate future targeted research in FFF.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery |
UniBE Contributor: |
Safi, Ali-Farid |
ISSN: |
2296-858X |
Publisher: |
Frontiers |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 Oct 2023 10:20 |
Last Modified: |
12 Nov 2023 02:34 |
Publisher DOI: |
10.3389/fmed.2023.1246690 |
PubMed ID: |
37886365 |
Uncontrolled Keywords: |
3D printing CAM artificial intelligence bioprinting computer-aided design fibula free flap mandibular reconstruction |
BORIS DOI: |
10.48350/188242 |
URI: |
https://boris.unibe.ch/id/eprint/188242 |
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