Fibula free flap virtual or freehand planning and the efficiency of surgery
Reviewed by Stuart Clark

This is a systematic review from surgeons in Italy and Florida where, from an initial 799 potentially relevant articles, only six could be included. Efficiency was assessed by the mean ischemia time which, for the virtual group, was 73.8 minutes, and freehand group, 109.9 minutes. In addition, the total operating time was reduced in the virtual group by over 65 minutes. The authors acknowledge that the increased efficiency and superior accuracy arises out of virtual planning but are uncertain about its actual contribution to clinical practice.

Accuracy of virtual planned surgery versus conventional free-hand surgery for reconstruction of the mandible with osteocutenous free flaps.
Pucci R, Weyh A, Smotherman C.
INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL SURGERY
2020;49(9):1153-61.