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Importance of Computer-Aided Design and Manufacturing Technology in the Multidisciplinary Approach to Head and Neck Reconstruction

Sharaf, Basel DDS, MD*; Levine, Jamie P. MD; Hirsch, David L. DDS, MD; Bastidas, Jairo A. DMD§; Schiff, Bradley A. MD; Garfein, Evan S. MD

Journal of Craniofacial Surgery: July 2010 - Volume 21 - Issue 4 - p 1277-1280
doi: 10.1097/SCS.0b013e3181e1b5d8
Technical Strategies
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Head and neck reconstruction is a multidisciplinary field, requiring communication among various surgical and dental specialists. The free fibular flap is the standard method for reconstructing large mandibular defects after benign or malignant tumor ablation. The graft has to be precisely contoured to fit the three-dimensional defect to meet the functional and aesthetic goals.

Virtual surgical planning using computed tomographic imaging and computer-aided design and manufacturing technology allows the surgeons to perform virtual surgery and generates templates and cutting guides that allow for the precise and expedient recreation of the plan in the operating room. The authors describe 2 cases where virtual planning was used for the extirpative and reconstruction phases to achieve precise reconstruction and decreased time under anesthesia.

From the *Division of Plastic and Reconstructive Surgery, Albert Einstein College of Medicine, Bronx; †Division of Plastic and Reconstructive Surgery, and ‡Department of Oral and Maxillofacial Surgery, New York University, New York; and §Department of Oral and Maxillofacial Surgery, Departments of Dentistry, and ∥Otolaryngology, Montefiore Medical Center, and ¶Division of Plastic and Reconstructive Surgery, Albert Einstein School of Medicine, Bronx, NY.

Received January 14, 2010.

Accepted for publication March 16, 2010.

Address correspondence and reprint requests to Evan S. Garfein, MD, Division of Plastic and Reconstructive Surgery, Albert Einstein School of Medicine, 1625 Poplar St, Bronx, NY 10461; E-mail: egarfein@yahoo.com

The authors report no conflicts of interest.

© 2010 Mutaz B. Habal, MD