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A 61-year-old man with complex composite midface defect secondary to remote ablative procedure and radiation. A, VSP was used to design a 3-segment fibula flap and patient-specific laser-sintered titanium plate with 18 predesigned screw holes optimally placed to fixate the construct to the right hemimaxilla and left zygoma. B, Postoperative 3-dimensional computerized tomography model showing the installed construct and final hardware.
