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Updated: Feb 7, 2026

Digital Hybrid Model Preparation for Virtual Planning of Reconstructive Dentoalveolar Surgical Procedures
Published on: August 5, 2021
Maxillofacial reconstruction using in-house virtual surgical planning.
Fiona A E Smithers1, Kai Cheng2, Rahul Jayaram1
1Department of Head and Neck Surgery, Sydney Head and Neck Cancer Institute, Chris O'Brien Lifehouse, Sydney, New South Wales, Australia.
Virtual surgical planning (VSP) for fibula free flap reconstruction in maxillofacial surgery can be performed efficiently in-house. This approach offers a low-cost, feasible alternative to external services, improving surgical outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Microsurgery
- Biomedical Engineering
Background:
- Fibula free flap transfer is a standard procedure for mandibular and maxillary reconstruction.
- Virtual surgical planning (VSP) aids in pre-operative planning for resection and reconstruction.
- External VSP services can be costly and may involve significant lead times.
Observation:
- A preliminary case series evaluated the use of in-house VSP for maxillofacial reconstruction.
- Six patients underwent fibula free flap reconstruction for mandible or maxilla defects.
- The in-house VSP process was applied to cases of varying complexity.
Findings:
- In-house VSP is a feasible method for maxillofacial reconstruction.
- This approach is associated with low costs and reduced turnaround times.
- Implementing VSP with in-house staff enhances surgical efficiency.
Implications:
- In-house VSP can make advanced surgical planning more accessible.
- This strategy may lead to improved resource utilization in reconstructive surgery.
- The findings support the integration of in-house VSP in maxillofacial units.
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