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Updated: Apr 12, 2026

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Digital Hybrid Model Preparation for Virtual Planning of Reconstructive Dentoalveolar Surgical Procedures
Published on: August 5, 2021
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V-stand--a versatile surgical platform for oromandibular reconstruction using a 3-dimensional virtual modeling
Vadim Reiser1, Michael Alterman2, Amir Shuster1
1Attending Physician, Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Summary
The V-stand surgical platform offers a precise and efficient method for oromandibular reconstruction (OMR) using 3D virtual modeling. This technique ensures accurate fibular free flap placement, preserving mandibular dimensions for improved function and aesthetics.
Area of Science:
- Oral and Maxillofacial Surgery
- 3D Virtual Surgical Planning
- Reconstructive Surgery
Background:
- Oromandibular reconstruction (OMR) following oncologic resections presents significant challenges.
- Accurate intraoperative planning is crucial for successful OMR outcomes.
- Existing methods for OMR often struggle to account for surgical variability.
Observation:
- A novel V-stand surgical platform was utilized for OMR in 17 patients.
- The V-stand, integrated with 3D virtual modeling, served as an intraoperative template.
- Free fibular flaps were reconstructed using the V-stand, fixed with titanium screws.
Findings:
- The V-stand facilitated accurate spatial positioning of fibular free flaps.
- All reconstructed mandibles demonstrated good functional and aesthetic results.
- The V-stand approach preserved the original mandibular dimensions effectively.
Implications:
- The V-stand provides a safe, time-efficient, and accurate method for OMR.
- This platform overcomes challenges related to resection precision in OMR.
- The V-stand enhances the reliability of oromandibular reconstruction outcomes.

