ArticleLaryngoscope investigative otolaryngology2022
Virtual planning and 3D-printed guides for mandibular reconstruction: Factors impacting accuracy.
Article in Laryngoscope investigative otolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 21 citations in OpenAlex.
- Reverse-engineered stock plates as a "makeshift" patient-specific alternative: expanding the role of conventional plates in mandibular free fibula reconstruction.Oral and maxillofacial surgery · 2026Trial
- Evaluation of accuracy of three-dimensional printing and three-dimensional miniplates in treatment of anterior mandibular fractures: a prospective clinical study.BMC oral health · 2025Trial
- Outcomes of Mandible Reconstruction Using Surgeon-Specific, Patient-Specific, and Conventional Plates.The Laryngoscope · 2026Article
- Automated Global Positioning Layout (GPL) for accuracy assessment in CAD-CAM mandibular reconstruction - method introduction.Scientific reports · 2026Article
- 3D printing-guided chest wall reconstruction - a case report and literature review.JPRAS open · 2026Article
- [Study on influence of tooth-supported osteotomy guide plates on the accuracy of mandibular segmental resection and its surgical outcome].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Alveolar Bone Regeneration: Smart Biomaterials and Physical Stimulation.Journal of biomedical materials research. Part B, Applied biomaterials · 2026Review
- Automated Global Positioning Layout (GPL) for accuracy assessment in CAD-CAM mandibular reconstruction - Method validation.Scientific reports · 2026Article
- Evaluating computer-assisted mandibular reconstruction: Outsourced vs. in-house approaches.Oncology letters · 2026Article
- Three-Dimensional Surgical Planning in Mandibular Cancer: A Decade of Clinical Experience and Outcomes.Cancers · 2026Article
- The Effect of Shavings from 3D-Printed Patient-Specific Cutting Guide Materials During Jaw Resection on Bone Healing.Materials (Basel, Switzerland) · 2025Article
- Comparison of the accuracy of different slot properties of 3D-printed cutting guides for raising free fibular flaps using saw or piezoelectric instruments: an in vitro study.International journal of computer assisted radiology and surgery · 2025Article
- Anterior Mandibular Osteomyelitis: A Narrative Review of Clinical Presentation, Diagnosis, and Management Strategies.Cureus · 2025Review
- Intraoperative Real-Time Image-Guided Fibular Harvest and Mandibular Reconstruction: A Feasibility Study on Cadaveric Specimens.Head & neck · 2025Article
- Evaluation of the Dimensional Accuracy of Robot-Guided Laser Osteotomy in Reconstruction with Patient-Specific Implants-An Accuracy Study of Digital High-Tech Procedures.Journal of clinical medicine · 2024Article
- 3D printing materials and 3D printed surgical devices in oral and maxillofacial surgery: design, workflow and effectiveness.Regenerative biomaterials · 2024Review
- Accuracy and Technical Predictability of Computer Guided Bone Harvesting from the Mandible: A Cone-Beam CT Analysis in 22 Consecutive Patients.Journal of functional biomaterials · 2022Article
- Virtual planning and 3D-printed guides for mandibular reconstruction: Factors impacting accuracy.Laryngoscope investigative otolaryngology · 2022Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Examine accuracy and factors impacting accuracy for mandibular reconstruction with virtual surgical planning, 3D printed osteotomy guides and preoperatively bent mandibular reconstruction plate (VSP/3Dprinted-guide/plate). Method: Retrospective review of osseous-free-flap mandibular reconstructions with VSP/3Dprinted-guide/plate between January 2015 and July 2020 at a single academic medical center.Patient demographics, disease, and treatment variables were extracted. Accuracy was assessed by 3D-model-overlay with cephalometric and donor-bone segment length measurements. Multivariate analyses were performed to determine factors impacting cephalometric accuracy. Results: 60 cases met criteria: 41 (68%) cancer, 14 (23%) osteoradionecrosis (ORN), 5 (8%) secondary mandibular reconstruction. Thirteen cases (22%) were Brown class III or IV. Thirty-nine cases (65%) had ≥2 flap bone segments. Average donor-bone length was 82 mm (SD: 28). 3D-model-overlay accuracy demonstrated minimal deviation between planned and actual reconstruction: intercondylar distance = 2.10 mm (SD: 2.2); intergonial distance = 2.23 mm (SD: 1.9); anterior-posterior distance (APD) = 1.76 mm (SD: 1.5); gonial angle (GA) = 3.11 degrees (SD: 2.4). Mean change in donor-bone segment length inferiorly was 2.67 mm (SD: 2.6) and superiorly 3.27 mm (SD: 3.2). Higher number of donor-bone segments was associated with decreased accuracy in GA ( Conclusion: To our knowledge this is the largest series assessing surgical accuracy of VSP/3Dprinted-guide/plate for osseous-free-flap mandibular reconstruction. We demonstrate highly accurate results, with increased number of donor-bone segments and donor-bone length associated with decreased accuracy. Our findings further support VSP/3Dprinted-guide/plate as a reliable and accurate tool for mandibular reconstruction. Level of Evidence: Level 4.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.