الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
Reconstruction of segmental mandibular defects is in a continuous state of evolution
utilizing the recent advances in preoperative Virtual Surgical Planning (VSP). The anterior iliac
crest is one of the ideal reservoirs for autogenous harvesting of bone graft with rapid and
predictable consolidation.
Objectives: To evaluate the morphological and functional accuracy of VSP guided mandibular
reconstruction surgery using anterior iliac crest bone graft.
Materials and methods: Eight patients with lateral segmental mandibular defects were selected.
All defects were reconstructed using anterior iliac crest non-vascularized bone graft, utilizing
preoperative virtual surgical planning and intraoperative resection and reconstruction guides.
Patients were evaluated clinically for pain, recipient site healing, and donor site healing. In
addition, a radiographic three-dimensional investigation was performed immediately to determine
the accuracy of the VSP.
Results: All of the operated patients showed a statistically significant improvement in the clinical
parameters. Regarding the radiographic performance, all of the patients regained the continuity of
the lower border. All of the linear and angular measurements reported a statistically insignificant
difference between the APM and the VSP values, delineating the morphological and functional
accuracy of the virtual plane.
Conclusion: Computer-assisted reconstruction showed accurate postoperative condylar position
and morphological orthognathic measurements in mandibular resection cases with iliac crest graft
reconstruction.