Three-Dimensional Computer-Assisted Surgical Planning and Manufacturing in Complex Maxillary Reconstruction

Maxillary reconstruction is a challenging area of head and neck reconstructive surgery. Since the advent of microvascular reconstruction, the surgeon has a large armamentarium of options to consider after ablative surgery to the maxilla and midface. With the development of computer-assisted surgical planning, the reconstructive surgeon can now accurately design and plan bony reconstruction of the midface to within millimeter accuracy, and this has changed the way we approach this area. The maxillectomy defect can produce a complex defect often involving a variety of structures, including the tooth bearing alveolus, the palate, paranasal sinuses, nasal cavity, and orbital cavity.