Abstract

With advancements in computer systems, computer graphics and medical imaging technologies, clinicians strive for a personalised approach to patient treatment. Therefore, the production of personalised surgical guides is becoming standard. While proprietary software solutions for mandibular reconstruction planning exist, they are often not available due to their high costs. There are multiple alternative methods available, which utilise open-source technologies and free software, but they use advanced three-dimensional (3D) computer-aided design (CAD) concepts. The goal of this article is to provide end-users (surgeons, radiologists, or radiology technicians) with a tool that offers an intuitive interface and a simple workflow. The tool provides only the necessary methods offering a high degree of automation and abstracting the underlying 3D CAD concepts. This is accomplished by providing an add-on (written in Python) for a free and open-source software package Blender.

Highlights

  • The osteocutaneous free flap was first described by Taylor and his co-workers to treat a defect of the mandible in 1979 [1]

  • Restoring facial contour after tumour resection is one of the main goals after ablative surgery, and fitting osteotomies is integral in the process

  • Osteotomies would be decided in the operating room making the work less precise and more time-consuming [2]

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Summary

Key points

An intuitive add-on for open-source software Blender enables a reliable method for fast and accurate personalised surgical guide generation and visualisation. An open-source tool brings expensive technology closer to medical institutions and healthcare professionals with lower budgets, improving surgery outcomes and reducing overall healthcare costs

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