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Article: Volume 49 Number 4 Page 336 - April 2022

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  Dental Update 499: 336-340

Oral medicine:  3D Sequencing and Protocols in Head and Neck Reconstructive Surgery: Delivering Predictable Results

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Abstract: The complex nature of head and neck anatomy poses a significant challenge in facial reconstruction, both in functional and aesthetic outcomes. This necessitates that any resection of disease and reconstruction should not only consider the defect, but also the changes in appearance, speech and swallow. High-fidelity 3D planning improves both the outcomes of the resection and the reconstruction. This article presents an up-to-date review of the literature of the role of 3D planning, the stages and requirements of how to sequence head and neck reconstructions, and the future role of 3D planning. We outline the advantages that 3D sequencing affords both the patient and the surgeon, alongside a case report.

Clinical relevance: The latest advances in oral cancer planning and reconstruction are described and a step-by-step guide to 3D sequencing and planning reconstruction is provided.

Author notes: Hussein Mohamedbhai, MRCS, MFDS, BM, BDS, MMedSc, Oral and Maxillofacial StR; Abigail Chan, Medical Student; Bhavin Visavadia, FRCS, FDS, Consultant Oral and Maxillofacial Surgeon; Oral and Maxillofacial Surgery, Northwick Park Hospital, London North West Healthcare Trust. email: hussein.mohamedbhai@nhs.net

Objective: The reader should understand the role of 3D planning in head and neck reconstruction.