Abstract
Virtual surgical planning (VSP) using computer-aided design and manufacturing (CAD/CAM) allows preoperative planning of complex facial skeletal reconstruction. Complex regional anatomy with the goal of restoring bony contour, placement of soft tissue flap, and placement of dental implants using autologous osteocutaneous flap requires appreciation of individual patients’ anatomy which can be difficult. Using high-definition imaging and advance software, the manipulation and segmentation of both the fibula and facial skeletal images, allows both the resection and reconstruction team to “rehearse” the procedures digitally. Rapid prototype (RP) technology utilizing three-dimensional (3D) printer allows the generation of tools to guide precise intraoperative osteotomy and flap placement. The chapter uses two oncological cases to illustrate the use, the limitations, and technical pearls of VSP in maxillary and mandibular reconstruction.
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Tee, R., Rodriguez-Lorenzo, A., Thor, A. (2022). Virtual Surgical Planning and CAD/CAM for Mandible and Maxilla Reconstruction with Free Fibula Flap. In: Gravvanis, A., Kakagia, D.D., Ramakrishnan, V. (eds) Clinical Scenarios in Reconstructive Microsurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-23706-6_129
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DOI: https://doi.org/10.1007/978-3-030-23706-6_129
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