4.6 Review

Current Trends in the Reconstruction and Rehabilitation of Jaw following Ablative Surgery

Journal

CANCERS
Volume 14, Issue 14, Pages -

Publisher

MDPI
DOI: 10.3390/cancers14143308

Keywords

jaw reconstruction; microvascular reconstruction; free flaps; computer-assisted surgery; patient-specific implants; virtual surgical planning; 3D printing

Categories

Funding

  1. HKU Platform Technology Funding (PTF) [2020/21, 102010080]
  2. Health and Medical Research Fund [08192096]
  3. Food and Health Bureau, Hong Kong

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The advancements in jaw reconstruction technology, such as computer-assisted surgery and patient-specific implants, have allowed for the individual functional reconstruction of the jaw after ablative surgery. Additionally, the use of virtual surgical planning and the application of patient-specific implants have enabled fast restoration of both the function and aesthetics of the jaw. Ongoing research on augmented/mixed reality, artificial intelligence, and virtual surgical planning is expected to further enhance the functional reconstruction and rehabilitation of the jaw following ablative surgery.
Simple Summary The Maxilla and mandible provide skeletal support for of the middle and lower third of our faces, allowing for the normal functioning of breathing, chewing, swallowing, and speech. The ablative surgery of jaws in the past often led to serious disfigurement and disruption in form and function. However, with recent strides made in computer-assisted surgery and patient-specific implants, the individual functional reconstruction of the jaw is evolving rapidly and the prompt rehabilitation of both the masticatory function and aesthetics after jaw resection has been made possible. In the present review, the recent advancements in jaw reconstruction technology and future perspectives will be discussed. The reconstruction and rehabilitation of jaws following ablative surgery have been transformed in recent years by the development of computer-assisted surgery and virtual surgical planning. In this narrative literature review, we aim to discuss the current state-of-the-art jaw reconstruction, and to preview the potential future developments. The application of patient-specific implants and the jaw-in-a-day technique have made the fast restoration of jaws' function and aesthetics possible. The improved efficiency of primary reconstructive surgery allows for the rehabilitation of neurosensory function following ablative surgery. Currently, a great deal of research has been conducted on augmented/mixed reality, artificial intelligence, virtual surgical planning for soft tissue reconstruction, and the rehabilitation of the stomatognathic system. This will lead to an even more exciting future for the functional reconstruction and rehabilitation of the jaw following ablative surgery.

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