Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning
Background/Objectives: Computer-assisted mandibular reconstruction requires sophisticated technical expertise alongside surgical knowledge. This study aims to establish and validate an efficient collaborative protocol between oral and maxillofacial surgeons and bioengineers for virtual surgical plan...
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MDPI AG
2025-01-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/15/2/687 |
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| author | Dong-Ho Shin Hyo-Joon Kim Ji-Su Oh Seong-Yong Moon |
| author_facet | Dong-Ho Shin Hyo-Joon Kim Ji-Su Oh Seong-Yong Moon |
| author_sort | Dong-Ho Shin |
| collection | DOAJ |
| description | Background/Objectives: Computer-assisted mandibular reconstruction requires sophisticated technical expertise alongside surgical knowledge. This study aims to establish and validate an efficient collaborative protocol between oral and maxillofacial surgeons and bioengineers for virtual surgical planning in mandibular reconstruction. Methods: We developed a structured protocol with four sequential phases: (1) generation of 3D models from CT data, (2) virtual resection planning, (3) reconstruction design, and (4) surgical guide fabrication. Protocol efficiency was assessed through seven simulation trials measuring planning duration and required revisions. Clinical validation was performed in four mandibular reconstruction cases. Accuracy was evaluated by comparing virtual surgical plans to postoperative outcomes using 3-matic 13.0 software analysis. Results: Protocol implementation showed consistent efficiency across simulations with a mean planning duration of 2.86 working days (SD = 1.35). Only two of seven simulations required design revisions. Clinical application in four cases (three ameloblastomas, one odontogenic myxoma) demonstrated high precision with a mean virtual-to-actual discrepancy of 0.90 mm (SD = 0.34). Successful reconstructions were achieved across varying defect spans (29–53 mm) using both bicortical deep circumflex iliac artery (DCIA) flaps and monocortical iliac block bone grafts. The collaborative workflow resulted in optimized surgical guide design, reduced planning iterations, and improved surgical precision. Conclusions: The established surgeon–bioengineer collaborative protocol enhances the efficiency and accuracy of computer-assisted mandibular reconstruction while making advanced surgical planning techniques more accessible. While initial results are promising, future studies with larger patient cohorts and extended follow-up periods are needed to fully validate the protocol’s long-term benefits and broader applicability. |
| format | Article |
| id | doaj-art-425aaae3003e40a3a091249e7d3f6f4f |
| institution | Kabale University |
| issn | 2076-3417 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj-art-425aaae3003e40a3a091249e7d3f6f4f2025-01-24T13:20:28ZengMDPI AGApplied Sciences2076-34172025-01-0115268710.3390/app15020687Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical PlanningDong-Ho Shin0Hyo-Joon Kim1Ji-Su Oh2Seong-Yong Moon3Department of Oral and Maxillofacial Surgery, Chosun University Dental Hospital, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaDepartment of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University, Gwangju 61452, Republic of KoreaBackground/Objectives: Computer-assisted mandibular reconstruction requires sophisticated technical expertise alongside surgical knowledge. This study aims to establish and validate an efficient collaborative protocol between oral and maxillofacial surgeons and bioengineers for virtual surgical planning in mandibular reconstruction. Methods: We developed a structured protocol with four sequential phases: (1) generation of 3D models from CT data, (2) virtual resection planning, (3) reconstruction design, and (4) surgical guide fabrication. Protocol efficiency was assessed through seven simulation trials measuring planning duration and required revisions. Clinical validation was performed in four mandibular reconstruction cases. Accuracy was evaluated by comparing virtual surgical plans to postoperative outcomes using 3-matic 13.0 software analysis. Results: Protocol implementation showed consistent efficiency across simulations with a mean planning duration of 2.86 working days (SD = 1.35). Only two of seven simulations required design revisions. Clinical application in four cases (three ameloblastomas, one odontogenic myxoma) demonstrated high precision with a mean virtual-to-actual discrepancy of 0.90 mm (SD = 0.34). Successful reconstructions were achieved across varying defect spans (29–53 mm) using both bicortical deep circumflex iliac artery (DCIA) flaps and monocortical iliac block bone grafts. The collaborative workflow resulted in optimized surgical guide design, reduced planning iterations, and improved surgical precision. Conclusions: The established surgeon–bioengineer collaborative protocol enhances the efficiency and accuracy of computer-assisted mandibular reconstruction while making advanced surgical planning techniques more accessible. While initial results are promising, future studies with larger patient cohorts and extended follow-up periods are needed to fully validate the protocol’s long-term benefits and broader applicability.https://www.mdpi.com/2076-3417/15/2/687computer-assisted surgeryvirtual surgical planning3D printingmandibular reconstructioniliac crestal flapsurgical guides |
| spellingShingle | Dong-Ho Shin Hyo-Joon Kim Ji-Su Oh Seong-Yong Moon Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning Applied Sciences computer-assisted surgery virtual surgical planning 3D printing mandibular reconstruction iliac crestal flap surgical guides |
| title | Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning |
| title_full | Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning |
| title_fullStr | Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning |
| title_full_unstemmed | Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning |
| title_short | Enhancing Mandibular Reconstruction with Surgeon–Bioengineer Collaboration: A Protocol for Virtual Surgical Planning |
| title_sort | enhancing mandibular reconstruction with surgeon bioengineer collaboration a protocol for virtual surgical planning |
| topic | computer-assisted surgery virtual surgical planning 3D printing mandibular reconstruction iliac crestal flap surgical guides |
| url | https://www.mdpi.com/2076-3417/15/2/687 |
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