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Craniomaxillofacial Planning

Unique software tools
for unique cases

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Craniomaxillofacial Planning

Unique software tools
for unique cases

Watch video Contact us

Functionalities as individual as your cases

Craniomaxillofacial surgery planning is complex. With every case presenting unique challenges, you need tools that offer unique functionalities. Brainlab Craniomaxillofacial Planning software automates the steps that can slow you down while enriching patient data in new ways to help you make informed decisions. You can plan swiftly and intuitively, no matter how complex the case.

Take your plan a step further by adding mixed reality viewing, navigation1 and robotic intraoperative imaging to achieve your ideal outcomes for mid-facial reconstructions and tumor resections.

Automation at every step

We’ve built automation into every step of the planning workflow including data alignment, image fusion, object outlining, segmentation and mirroring as well as implant positioning. Save time while still thoroughly preparing for the procedure.

Customize your planning with Brainlab Elements

Brainlab Elements are software applications designed to automate and simplify planning and case preparation. Completely customizable, you can choose which Elements fit your reconstruction needs, from interactive data review to atlas-based segmentation and mirroring of structures to vendor-neutral import of binary STL files. Add the functionalities that will help you most, since these applications all fit seamlessly into your existing workflows.

Easily align patient images

In CMF planning, correct alignment of the dataset is the first critical step. With Elements Viewer, imported DICOM data, such as MR, CT or cone beam CT scans, can be viewed in axial, coronal, sagittal or 3D and automatically aligned according to symmetry planes for simple comparison of both sides in one view.

A grid of four different views of scans and 3D renderings in Elements Viewer software of a skull used to plan craniomaxillofacial surgeries.

Contour on any dataset

Fully automated and highly accurate image fusion of multiple image modalities with Elements Image Fusion brings your plan together for indispensable definition and flexible contouring on any dataset. During surgery, intraoperatively acquired images can be fused with pre-planned data to verify the position of implants or repositioned bone fragments.

A screenshot of Elements Image Fusion software with a large black and white scan of a brain on the right and three smaller blue and orange fused images shown from different angles on the left.

Define volumes on just two slices

Elements SmartBrush supports your planning with quick and interactive outlining of tumors and other relevant structures incorporating multiple modalities. Delineate the object on just two slices and its volume is automatically generated. For consistent tumor monitoring, auto-generated volumetric reports can be created.

A screenshot of a grid view of four different angles of a scan of a brain with a tumor outlined in red with Elements Smartbrush software used to plan the surgical removal of a tumor.

Save time with automatic segmentation

Easily incorporate relevant craniofacial structures into your plan with fully automated, atlas-based anatomical segmentation. Split or merge objects or include safety margins to fit your reconstruction needs. For outlining specific anatomical areas, such as bony structures after trauma, a region of interest can be defined in various forms, including a sphere or ellipsoid, and segmented according to user-defined Hounsfield values.

A 3D rendering of the frontal view of a skull with various areas of bone highlighted in different colors for the planning of a craniomaxillofacial surgery procedure.

Mirror structures to the affected side

Unilateral defects allow for the utilization of templates from the healthy side. Choose segmented objects with Elements Object Manipulation and mirror them to the affected side. Mirrored structures can be easily manipulated and positioned according to existing anatomical structures of the defected side.

A screenshot of a grid view of four views of a skull with various bone structures highlighted in different colors for CMF surgery planning.

Flexibly exchange STL data

Make the most of your mirrored structures and export them as a template for the manufacturing of implants or rapid prototyping models. Finalize your surgical preparation by integrating standard or customized implants into your plan. Imported structures in binary STL-file format can be automatically positioned at the region of interest with volume or surface match.

A screenshot of a grid view of different angles of a skull with orbital implant used to plan a reconstructive CMF surgery procedure.

What our customers are saying2

Brainlab Elements planning applications and mixed reality in practice

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Ready to start planning?

Ready to start planning?

Mixed Reality

Take your plan from the screen into the room

  • Mixed Reality frees viewing from traditional displays and turns the room into a virtual space to experience your patient-specific plan
  • Dive inside the patient’s anatomy in hyper-realistic 3D and view objects previously segmented with Brainlab Elements
  • Utilize the latest visualization technology for patient consultation and enable patients to better understand their diagnosis and the surgical approach

Learn more

A mixed reality 3D rendering view of a skull with segmented bony objects and an implant highlighted in different colors used to plan craniomaxillofacial surgery

Learn more

Discover our collection of past CMF webinars that focus on the benefits of planning
and mixed reality visualization. Be sure to register for our upcoming webinars!



Not yet commercially available in several countries (CE mark available). Please contact your sales representative.

The statements of the surgeons reflect only personal opinions and experiences and do not necessarily reflect the opinions of Brainlab or any affiliated institution.