Purpose: This paper describes our special considerations in virtual surgical planning for secondary maxillary reconstruction with vascularized fibular osteomyocutaneous flap and our revised surgical design for maxillary reconstruction.Methods: Eleven patients with different maxillary defects according to Browns revised classification underwent virtual surgical planning for secondary accurate reconstruction.For different horizontal class defects,the fibular was osteomized to match maxillary alveolar arch by using the mirror image of the contralateral alveolar ridge or the curve of mandibular arch and dentition.