Head And Neck Reconstruction

Patient Specific Reconstruction Options

Lyka Smith offers virtual planning and custom reconstructive solutions for complex cancer or reconstructive cases. Resections and trauma to maxilla, midface and mandible can be virtually planned, simulating a variety of surgical repair outcomes.

From fibula free flap and scapular reconstruction to non-vascularised and combined dental implant planning Lyka Smith’s virtual planning services can streamline the most complex of cases.

Reconstructive options:

  • Custom titanium plates
  • Custom surgical guides
  • Mandible reconstruction with graft (fibula, scapula, iliac crest)
  • Maxillary reconstruction with graft (fibula, scapula, iliac crest)
  • Fully guided dental implant placement in combination with graft
  • Anatomical biomodels
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Reconstruction With Immediate Dental Implant Placement

Guided Dental Implant Placement

Through collaboration with your prosthodontist, guided implant placement can be done at the time of the reconstruction procedure.

Using intraoral scans and CT data your engineer will plan the post-operative position of the graft and position of the dental implants with the desired occlusion in mind.

For mandible reconstruction, patient specific fibula surgical guides with guided dental implant sleeves allow placement with restorative driven planning outcomes. All major dental brands can be planned in our software.

If required, an immediate provisional prostheses can be designed with our local partnered dental labs for fitment during the procedure.

Teethh

Fibula Cutting Guides

Our fibula cutting guides are created by defining the resection margins and our engineers virtually project the donor region onto the recipient region. The graft is placed in the best possible position for functional and restorative considerations. Vascular supply and the planning of the vascular pedicle is incorporated into the plan at this stage.

One the position is finalised and approved our team will design drilling and marking guides.
If dental implant placement is desired the implant positions and planned occlusion is combined within the designs of the cutting guide.

The custom guide designs one reviewed are manufactured in our Melbourne facility and shipped to your hospital. Local manufacturing allows a 3-5 day turnaround from surgeon approval.

Fibular

Iliac Crest Cutting Guides

For smaller defects Iliac crest cutting guides can be designed with our engineering team.

Illiac

Custom Titanium Plates

Choose your fixation points, plate thickness and design.

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Lyka Smith Reconstructive Options

Patient Specific Solutions

Lyka Smith offers reconstructive solutions crafted to your specific requirements. Complete design freedom allows you to add or alter fixation points, custom plate thickness, titanium cutting slots and other features to your preference and clinical needs.
Reconstructive Surgery

Additional FAQs about ourReconstructive Service

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  • CTs as per Lyka Smith Protocols
  • Intraoral scans or models for restorative dental cases
  • Scans of patient dentures if needed for restorative planning
  • Dental Implant selection of brand, size and type
  • Planned resection and graft donor site

3 – 5 days from surgeon approval.

Yes in conjunction with our local partner labs depending on the Prosthodontist’s preference.