{
  "abstract": "Objective\n\nThe fibula flap is the preferred choice for mandibular reconstruction, especially with recent technological advancements. This study presents and evaluates a novel EASY-WEAR-OFF CAD/CAM patient-specific implant (PSI) double-barrel double-plate designed to improve stabilisation and outcomes.Methods\n\nA custom CAD/CAM plate with 2 parts, a long-bar and a short-bar plate, connected by vertical rods, was developed. Implant placement was performed under local anaesthesia alongside the removal of the short-bar plate at 6 months postoperatively. Literature on fixation techniques and CAD/CAM designs was reviewed to contextualise this approach.Results\n\nThe double-barrel technique provides greater vertical bone height than the single-bar, reducing the bone gap and improving implant conditions. This PSI shows potential for better patient satisfaction and functional outcomes, supporting easier implant placement and postoperative management.Conclusions\n\nThis CAD/CAM PSI may enhance mandibular reconstruction using the double-barrel fibula flap. Further studies with larger cohorts are needed to confirm its clinical benefits and long-term outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Head and Neck, San Camillo-Forlanini Hospital, Rome, Italy.",
    "Department of Oral and Maxillofacial Sciences, La Sapienza University of Rome, Rome, Italy.",
    "Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy.",
    "Unit of Plastic, Reconstructive and Hand Surgery, San Camillo-Forlanini Hospital, Rome, Italy."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Resi Pucci"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Carola Grazia Corbetta"
    },
    {
      "affs": [
        2
      ],
      "name": "Michele Di Cosola"
    },
    {
      "affs": [
        0
      ],
      "name": "Vincenzo Antonio Marcelli"
    },
    {
      "affs": [
        0
      ],
      "name": "Flavio Andrea Govoni"
    },
    {
      "affs": [
        3
      ],
      "name": "Nicola Felici"
    },
    {
      "affs": [
        0
      ],
      "name": "Roberto Pistilli"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/eagr4b72j22j2.bib",
  "cited_by": 0,
  "doi": "10.14639/0392-100x-a1723",
  "fulltext_url": "https://europepmc.org/articles/PMC13726674",
  "id": "eagr4b72j22j2",
  "issns": [
    "0392-100X",
    "1827-675X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42969780",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Maxillofacial and Plastic Surgery"
    ],
    [
      "openalex",
      "2746|Reconstructive Surgery and Microvascular Techniques"
    ]
  ],
  "openalex": "W7225110842",
  "pdf_url": "https://europepmc.org/articles/PMC13726674?pdf=render",
  "pmcid": "PMC13726674",
  "pmid": "42969780",
  "published": "2026-10-01",
  "publisher": "Pacini Editore",
  "ris": "https://research.draconitic.com/paper/eagr4b72j22j2.ris",
  "sources": [
    {
      "first_seen": "2026-11-03T15:20:53Z",
      "native_id": "MED:42969780",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42969780"
    },
    {
      "first_seen": "2026-11-05T12:22:58Z",
      "native_id": "PMC13726674",
      "source": "pmc",
      "url": "https://doi.org/10.14639/0392-100x-a1723"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Reconstructive Surgery and Microvascular Techniques",
      "subfield": "surgery"
    }
  ],
  "title": "Review of fixation techniques in double-barrel fibula flap and introduction of a new technique.",
  "title_text": "Review of fixation techniques in double-barrel fibula flap and introduction of a new technique.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:34Z",
  "url": "https://research.draconitic.com/paper/eagr4b72j22j2",
  "venue": "Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale",
  "versions": []
}