10.14639/0392-100X-N2638
text/xml
1827-675X
2638
en
Madhav  Kittur
http://creativecommons.org/licenses/by-nc-nd/4.0
ACTA Otorhinolaryngologica Italica
custom plate
Comment to the article “Mandibular reconstruction using a new design for a patient-specific plate to support a fibular free flap and avoid the double-barrel technique” by Tarsitano et al., 2021
Text.Serial.Journal
https://www.actaitalica.it/
44
Letters to the Editor-in-Chief
2024-02-29
2023-05-08
2024-04-23
2024-04-23
138-139
1
Madhav  Kittur
2024/02/29
10.14639/0392-100X-N2638
138
Morriston Hospital, Heol Maes Eglwys, Morriston, Swansea, SA6 6NL, United Kingdom
1827-675X
custom plate
en
139
Comment to the article “Mandibular reconstruction using a new design for a patient-specific plate to support a fibular free flap and avoid the double-barrel technique” by Tarsitano et al., 2021
https://www.actaitalica.it/article/download/2638/1082
44
ACTA OTORHINOLARYNGOLOGICA ITALICA 2024;44:138-139; doi: 10.14639/0392-100X-N2638




Letter to the Editor


Comment to the article
“Mandibular reconstruction using a new design for
a patient-specific plate to support a fibular free flap
and avoid the double-barrel technique”
by Tarsitano et al., 2021
James Pallot, Alex Goodson, Peter Evans, Madhav Kittur
Morriston Hospital, Heol Maes Eglwys, Morriston, Swansea, SA6 6NL, United Kingdom



KEY WORDS: mandibular reconstruction, fibular flap, custom plate

Dear Editor,
we read the article entitled ‘Mandibular reconstruction using a new design
for a patient-specific plate to support a fibular free flap and avoid the double-
barrel technique’ by Tarsitano et al, published in Acta Otorhinolaryngologica
Italica, April 2021 1 with interest. We would like to show appreciation to the
authors for their commendable work. The demonstration of technical steps
used for fabrication of patient-specific implants for reconstruction of segmen-
tal mandibulectomy defects following resection of benign osseous mandibular
tumours was comprehensive and impressive. CAD/CAM plates attained the
desired goals of providing an aesthetic reconstruction of the inferior border of    Received: May 8, 2023
the mandible while positioning the fibula graft in a superior location adjacent     Accepted: May 18, 2023
to the native alveolar ridge to facilitate optimal insertion of implants for den-   Published online: February 29, 2024
tal rehabilitation. Post-operative CT scans demonstrate excellent adherence to
                                                                                    Correspondence
preoperative planning models and treatment outcomes in the series of cases          James Pallot
described by the authors.                                                           james.pallot@wales.nhs.uk
We would like to take this opportunity to highlight the technical note ‘Custom-
made fibular “cradle” plate to optimise bony height, contour of the lower bor-        How to cite this article: Pallot J, Goodson A,
der, and length of the pedicle in reconstruction of the mandible’ by Goodson et       Evans P, et al. Letter to the Editor-in-Chief of
                                                                                      Acta Otorhinolaryngologica Italica regarding the
al published in the British Journal of Oral and Maxillofacial Surgery, January        article titled “Mandibular reconstruction using
2017 2. Corresponding technical steps were used by these authors for recon-           a new design for a patient-specific plate to sup-
                                                                                      port a fibular free flap and avoid the double-barrel
struction of a mandibulectomy defect following resection of an odontogenic            technique” by Tarsitano et al., 2021. Acta Otorhi-
myxoma. Similar software systems were used including DICOM and Mimicsâ                nolaryngol Ital 2024;44:138-139. https://doi.
for planning, provision of cutting guides, plate manufacture and commensu-            org/10.14639/0392-100X-N2638
rate clinical outcomes were attained.
                                                                                    © Società Italiana di Otorinolaringoiatria
While Goodson et al. did not undertake a software-based CT image compari-           e Chirurgia Cervico-Facciale
son of their reconstructed case against the surgical plan like Tarsitano et al.
did, we hope that their technical innovation regarding the inception of this                       OPEN ACCESS

plate design and its initial clinical use can be acknowledged.                      This is an open access article distributed in accordance with
                                                                                    the CC-BY-NC-ND (Creative Commons Attribution-Non-
                                                                                    Commercial-NoDerivatives 4.0 International) license. The
                                                                                    article can be used by giving appropriate credit and mentio-
                                                                                    ning the license, but only for non-commercial purposes and
                                                                                    only in the original version. For further information: https://
                                                                                    creativecommons.org/licenses/by-nc-nd/4.0/deed.en




138
                                                 Comment to the article “Mandibular reconstruction using a new design for a patient-specific plate
                                                                             to support a fibular free flap and avoid the double-barrel technique”



Conflict of interest statement                                       Ethical consideration
The authors declare no conflict of interest.                         Not applicable.

Funding                                                              References
This research did not receive any specific grant from funding        1
                                                                         Tarsitano A, Battaglia S, Corinaldesi G, et al. Mandibular reconstruc-
agencies in the public, commercial, or not-for-profit sectors.           tion using a new design for a patient-specific plate to support a fibular
                                                                         free flap and avoid double-barrel technique. Acta Otorhinolaryngol
Author contributions                                                     Ital 2021;41:230-235. https://doi.org/10.14639/0392-100X-N0549
All authors listed were involved in writing and proof read-
                                                                     2
                                                                         Goodson A, Evans P, Goodrum H, et al. Customised fibular cradle
                                                                         plate: a new concept in mandibular reconstruction; optimising bony
ing this letter to the Editor-in-Chief of Acta Otorhinolaryn-            height, lower border contour and pedicle length. Br J Oral Maxillofac
gologica Italica.                                                        Surg 2017;55:e123. https://doi.org/10.1016/j.bjoms.2016.12.011




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