Improved procedure for Brown’s Class III maxillary reconstruction with composite deep circumflex iliac artery flap using computer-assisted technique

Figures & data

Figure 1. Virtual surgical planning of total maxillectomy.

Figure 2. Virtual reconstruction with iliac crest.

Figure 3. Three-dimensional model of the reconstructed maxilla and titanium mesh was precontoured on the model.

Figure 4. Iliac crest flap was harvested, facilitated by cutting template and transferred and fixed to recipient site aided by surgical guides.

Figure 5. The surgery was fully guided by intraoperative navigation system.

Figure 6. (a) Pre-operative facial profile. (b) Post-operative facial profile.

Figure 7. Color map of pre- and post-operative maxilla models showed deviation between result and preoperative plan.