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Video

Head and Neck Surgery

(A564) In House Resident Led Virtual Surgical Planning Using Open-Source Software

Monday, October 13, 2025
12:00 PM - 1:00 PM EDT
Location: OTO EXPO, Posters

    Presenting Author(s)

  • Travis Jonathan Clarke, MD

    Resident Physician
    University of Tennessee
    Memphis, Tennessee, United States

    • Co-Author(s)

  • Daron B. Harrison, MD

    Resident Physician
    University of Miami/Jackson Health System
    Miami, Florida, United States

  • AZ

    Aaron L. Zebolsky, MD

    Resident Physician
    University of Tennessee
    Memphis, TN, United States

    • Senior Author(s)

  • AE

    Anas A. Eid, MD

    Chief, Division of Facial Plastic & Reconstructive Surgery
    University of Tennessee
    Memphis, Tennessee, United States

Disclosure(s):
Travis Jonathan Clarke, MD: No relevant relationships to disclose.
Daron B. Harrison, MD: No relevant relationships to disclose.
Aaron L. Zebolsky, MD: No relevant relationships to disclose.


Introduction: Virtual surgical planning (VSP) has become an integral tool for maxillary and mandibular reconstruction. Recent advancements in open-source software have made this technology more accessible, particularly in resource-limited settings.

Methods: A series of patients from our regional medical center underwent mandibular reconstruction guided by in-house VSP using open-source software. CT images were obtained and segmented with free tools, enabling the creation of virtual osteotomies and reconstructive plans. These plans were translated into surgical guides via 3D printing and utilized intraoperatively. Cases were compiled and presented for educational review.

Results: Four patients successfully underwent mandibular reconstruction with fibula free flaps. Etiologies of the defects included ballistic trauma, medication-related osteonecrosis of the jaw (MRONJ), and malignancy. Virtual osteotomies and 3D-printed surgical guides were developed entirely with open-source software. Postoperative outcomes demonstrated excellent aesthetic and functional results.

Conclusions: Open-source software empowers reconstructive surgeons to independently perform VSP, broadening access to this technology in resource-constrained environments. This case series illustrates the practical application of open-source VSP in head and neck reconstruction.