Comparison of Complicated and Simple Guiding Templates in Mandibular Reconstruction Using Vascularized Iliac Crest Flap
Figure 1
Procedures for the SGT (simple guiding templates). (a) Overview of the cutting guides, prebending titanium plate and reconstructed model. (b) Application of the simple cutting guides onto the surface of mandible, on both side of the lesion. (c) Application of the cutting guide on the iliac area. (d) Harvest of the vascularized iliac bone before pedicle division. (e) The removed mandibular lesion according to the cutting guide. (f) The mandibular defect after mandibulectomy. (g) Restoration of the mandibular continuity by prebending titanium plate and the deep circumflex iliac artery and vein of the bone flap was anastomosed with facial artery and vein. (h) The iliac bone was reshaped and put into the defect and fixed: (i) presurgery panoramic radiograph showed lesion in the right gonion and (j) postsurgery panoramic radiograph showed the lesion was removed and embed by iliac bone.