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Semin Plast Surg 2022; 36(03): 183-191
DOI: 10.1055/s-0042-1754386
Review Article

Virtual Surgical Planning in Free Tissue Transfer for Orbito-Maxillary Reconstruction

Min-Jeong Cho
1   Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio
,
Matthew M. Hanasono
2   Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston Texas
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Abstract

Since its introduction, virtual surgical planning (VSP) has been rapidly adopted as a part of reconstructive surgeon's armamentarium. VSP allows reconstructive surgeons to simulate resection, plan osteotomies, and design custom plates. These unique advantages have been especially beneficial for head and neck reconstructive surgeons as there is small room for error and high technical demand in head and neck reconstruction. Despite its popularity, most surgeons have limited experience in using VSP for orbito-maxillary reconstruction as tumors that involve the midface are relatively rare compared with other head and neck oncologic defects. In our institution, we routinely use VSP for orbito-maxillary reconstruction using free fibula flap to provide support for orbit, to restore normal dental occlusion, and to restore midface projection. In this chapter, we will discuss the role of virtual surgical planning and our algorithmic approach of performing orbito-maxillary reconstruction using free tissue transfer.

Keywords

orbito-maxillary reconstruction - fibula flap - virtual surgical planning - VSP - 3D printing - CAD/CAM - computer-aided design and computer-aided manufacturing


Publication History

Article published online:
31 August 2022

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