The use of 3D virtual surgical planning and computer aided design in reconstruction of maxillary surgical defects

Haye H Glas, Nathalie Vosselman, Sebastiaan A H J de Visscher*

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    PURPOSE OF REVIEW: The present review describes the latest development of 3D virtual surgical planning (VSP) and computer aided design (CAD) for reconstruction of maxillary defects with an aim of fully prosthetic rehabilitation. The purpose is to give an overview of different methods that use CAD in maxillary reconstruction in patients with head and neck cancer.

    RECENT FINDINGS: 3D VSP enables preoperative planning of resection margins and osteotomies. The current 3D VSP workflow is expanded with multimodal imaging, merging decision supportive information. Development of more personalized implants is possible using CAD, individualized virtual muscle modelling and topology optimization. Meanwhile the translation of the 3D VSP towards surgery is improved by techniques like intraoperative imaging and augmented reality. Recent improvements of preoperative 3D VSP enables surgical reconstruction and/or prosthetic rehabilitation of the surgical defect in one combined procedure.

    SUMMARY: With the use of 3D VSP and CAD, ablation surgery, reconstructive surgery, and prosthetic rehabilitation can be planned preoperatively. Many reconstruction possibilities exist and a choice depends on patient characteristics, tumour location and experience of the surgeon. The overall objective in patients with maxillary defects is to follow a prosthetic-driven reconstruction with the aim to restore facial form, oral function, and do so in accordance with the individual needs of the patient.

    Original languageEnglish
    Pages (from-to)122-128
    Number of pages7
    JournalCurrent opinion in otolaryngology & head and neck surgery
    Volume28
    Issue number2
    DOIs
    Publication statusPublished - Apr-2020

    Keywords

    • 3D VSP
    • CAD
    • CAM
    • maxillary
    • oral rehabilitation
    • patient specific
    • reconstruction
    • QUALITY-OF-LIFE
    • FREE-FLAP RECONSTRUCTION
    • INTERNAL OBLIQUE MUSCLE
    • SQUAMOUS-CELL CARCINOMA
    • CANCER-PATIENTS
    • IMMEDIATE RECONSTRUCTION
    • CAD/CAM RECONSTRUCTION
    • CLASSIFICATION-SYSTEM
    • MAXILLECTOMY DEFECTS
    • ORAL REHABILITATION

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