PMC4696964_01
Appliances for virtual surgical planning.
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F1
VSP was applied in the first case, with mandible resection guide, fibula cutting guide, pre-bend reconstruction plate, and a rapid prototyping (RP) model being prepared before surgery (Fig. 1).
PMC4696964_02
Post-operative imaging study. (A) Immediate postoperative 3-dimensional image operated with virtual surgical planning showing symmetrically reconstructed mandible. (B) Five-month follow-up panoramic view operated with virtual surgical planning showing well remodeled grafted bone. (C) Seven-month follow-up panoramic view operated without virtual surgical planning showing necrosis of grafted bone.
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F2
The patient using VSP experienced a successful result with symmetrically reconstructed mandible (Fig. 2A). We can identify survived flap and bone remodeling in 5 month follow-up panoramic view (Fig. 2B). Unfortunately, however, the flap on the patient without VSP failed (Fig. 2C).