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Virtual Surgical Planning for Oncologic Mandibular and Maxillary Reconstruction.
Paige L Myers1, Jonas A Nelson1, Evan B Rosen2
1Memorial Sloan Kettering Cancer Center, New York, N.Y.
Plastic and Reconstructive Surgery. Global Open
|September 22, 2021
Summary
Virtual surgical planning (VSP) enhances complex head and neck reconstruction by enabling personalized, precise surgical approaches. This technology improves planning, efficiency, and outcomes, including dental restoration.
Area of Science:
- Oral and Maxillofacial Surgery
- Biomedical Engineering
- Oncology
Background:
- Complex head and neck defects pose significant reconstructive challenges.
- Personalized medicine approaches are crucial for optimizing patient outcomes.
- Virtual surgical planning (VSP) offers a novel solution for intricate maxillofacial reconstructions.
Purpose of the Study:
- To outline strategies for optimizing VSP techniques.
- To review the applications, advantages, and disadvantages of VSP in oncologic head and neck reconstruction.
Main Methods:
- Utilizing computer-aided design and computer-aided modeling (CAD/CAM) for virtual surgical planning (VSP).
- Creating and manipulating three-dimensional anatomic models for resection and reconstruction planning.
- Analyzing existing studies demonstrating improvements in planning, efficiency, accuracy, and outcomes.
Main Results:
- VSP allows for precise virtual planning of complex maxillofacial resections and reconstructions.
- Studies indicate improvements in preoperative planning, operative efficiency, and accuracy.
- Postoperative outcomes are enhanced, with potential for immediate dental implantation and improved restoration.
Conclusions:
- VSP is a valuable tool for personalized medicine in complex head and neck cancer reconstruction.
- Technique optimization can further enhance the benefits of VSP.
- VSP offers significant advantages in managing maxillofacial defects, improving functional and aesthetic results.

