Fig. 2.

A 50-year-old woman with composite tissue defects of both the maxilla and mandible secondary to self-inflicted gunshot wound. Image from VSP that demonstrates the planned fibula constructs for simultaneous maxillary and mandibular reconstruction, and patient-specific design of laser-sintered titanium midface plate and prefabricated custom osteotomy guide. Notably, predictive marking holes indicate the relationship between the final and original fibula segments, facilitating easy assembly of the constructs.