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Updated: Feb 18, 2026

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Designing CAD/CAM Surgical Guides for Maxillary Reconstruction Using an In-house Approach
Published on: August 24, 2018
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Staged Reconstruction (Delayed-Immediate) of the Maxillectomy Defect Using CAD/CAM Technology
John Henry Pang1, Sebastian Brooke1, Mark W Kubik2
1Department of Plastic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Journal of Reconstructive Microsurgery
|November 28, 2017
Summary
This study introduces a two-stage delayed-immediate reconstruction protocol for complex mid-face defects using computer-aided design/computer-aided manufacturing (CAD/CAM) technology. This method enhances safety and effectiveness in bony reconstruction, particularly for challenging maxillary defects.
Area of Science:
- Oral and Maxillofacial Surgery
- Plastic Surgery
- Biomedical Engineering
Background:
- Computer-aided design/computer-aided manufacturing (CAD/CAM) is popular for mandibular reconstruction but less utilized for immediate complex mid-face reconstruction.
- Maxillary defects pose challenges for precise prediction and creating cutting guides post-surgery.
- A novel "delayed-immediate" two-stage protocol is proposed for complex mid-facial defects.

