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Virtual reality (VR) planning for mandibular reconstruction using the ImmersiveRecon application offers a streamlined approach. This method, involving free fibula flap surgery, demonstrated high fidelity and improved surgical planning efficiency.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomedical Engineering
  • Virtual Reality Applications

Background:

  • Free fibula flap reconstruction is the standard for implant-based rehabilitation of the mandible.
  • Current virtual planning methods, while common, present a complex user experience.
  • Limitations in existing virtual planning necessitate innovative solutions for improved efficiency and usability.

Purpose of the Study:

  • To evaluate a novel virtual reality (VR)-based application, ImmersiveRecon, for planning free fibula flap mandibular reconstruction.
  • To assess the feasibility and advantages of VR surgical planning compared to traditional methods.
  • To report a case of mandibular reconstruction and dental implant placement planned using VR technology.

Main Methods:

  • A 17-year-old patient with a history of ameloblastoma and failed prior reconstruction underwent VR-planned mandibular reconstruction.
  • Preoperative CT scans were imported into ImmersiveRecon for surgeon-led virtual planning.
  • Procedure-specific guides and splints were 3D-printed, and surgical outcomes were compared to planned models.

Main Results:

  • VR planning was completed by the surgeon in 5 minutes without engineer assistance.
  • The surgery proceeded without complications, yielding excellent functional and aesthetic outcomes.
  • Postoperative scans showed high fidelity to the VR-planned models, meeting surgical standards.

Conclusions:

  • Virtual reality surgical planning for mandibular reconstruction is feasible and effective.
  • ImmersiveRecon offers advantages including enhanced visualization, a simplified interface, and reduced planning time.
  • VR planning facilitates successful implant-based prosthodontic rehabilitation with high precision.