# Problem with mandibular plane in bone reconstruction planner

**URL:** https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511
**Category:** Support
**Tags:** surgical-planning
**Created:** [June 27, 2025, 3:08am UTC](https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511 "2025-06-27T03:08:23Z")
**Posts on this page:** 5
**Page:** 1

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### Author: ![Marco\_Sarcinella](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/marco_sarcinella/32/80519_2.png) [@Marco\_Sarcinella](https://discourse.slicer.org/u/Marco_Sarcinella)
#### Post date: [June 27, 2025, 3:08am UTC](https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511/1 "2025-06-27T03:08:23Z")

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Hi! I’m new in 3slicer, i had only one case of mandibulectomy in 3 d slicer the past month.  
Now I’have a problem when i do te positioning of mandibolar plane. Why when i set mandibular plane in correct position they cut off a piece of contralateral mandible ? So i can’t have a pre plating model to print with all the mandible .  
For Example i had to do a recostruction of left ramus. When i set my 3 mandibular plane, the “prolong” the cut also in the right ramus, cutting condile and other pieces.

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### Author: ![mau\_igna\_06](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/mau_igna_06/32/9056_2.png) [@mau\_igna\_06](https://discourse.slicer.org/u/mau_igna_06)
#### Post date: [June 27, 2025, 1:22pm UTC](https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511/2 "2025-06-27T13:22:17Z")

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Hi

Please check this:

> <https://github.com/SlicerIGT/SlicerBoneReconstructionPlanner/issues/164#issuecomment-3012596924>
>
> Hello ! And thank you for sharing your experience . I have a problem when i out …mandibular plane in bone recostruction panel.
> When I put them, the cut also a part of controlateral mandible non included in the resection, with the consequence that is impossible to print a model with a contralateral side like the original

It should solve the problem

Mauro

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### Author: ![Marco\_Sarcinella](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/marco_sarcinella/32/80519_2.png) [@Marco\_Sarcinella](https://discourse.slicer.org/u/Marco_Sarcinella)
#### Post date: [October 17, 2025, 9:05am UTC](https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511/3 "2025-10-17T09:05:48Z")

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Hi mauro ! How are you ?

First thanks for your suggests and your work! Thank you so much.

I would like to ask you another advice.

When designing a surgical guide for the fibula, there is often a tendency to design the guide to fit perfectly to the bone.

This is a big problem because, although you always try to preserve the periosteum on the lateral side of the fibula, there are muscle insertions on the anterior/medial side that make the fibula thicker than the bone portion alone.

How can I generate a surgical guide that is 1-2 millimeters wider?

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### Author: ![Marco\_Sarcinella](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/marco_sarcinella/32/80519_2.png) [@Marco\_Sarcinella](https://discourse.slicer.org/u/Marco_Sarcinella)
#### Post date: [October 17, 2025, 9:08am UTC](https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511/4 "2025-10-17T09:08:37Z")

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Is possible for example to :  
A-Hollow the fibula 1-2 millimetres

B-add another segment and hollowing it for the surgical guide , based on precedent hollwing (letter A). And Using this for the fibula surgical guide ?

Thank you !!!

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### Author: ![mau\_igna\_06](https://sea2.discourse-cdn.com/flex002/user_avatar/discourse.slicer.org/mau_igna_06/32/9056_2.png) [@mau\_igna\_06](https://discourse.slicer.org/u/mau_igna_06)
#### Post date: [October 20, 2025, 6:42pm UTC](https://discourse.slicer.org/t/problem-with-mandibular-plane-in-bone-reconstruction-planner/43511/5 "2025-10-20T18:42:06Z")

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After you create the `hollow` guidebase, you should be able to use `margin` effect with a negative value to get the result you are looking for
