Journal
JOURNAL OF CRANIOFACIAL SURGERY
Volume 32, Issue 1, Pages 320-321Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SCS.0000000000007148
Keywords
Anterior vault reconstruction; calvarium reconstruction; computer aided design; computer aided manufacturing; craniofacial; craniofacial surgery; craniosynostosis; cranium; plastic surgery; reconstruction; reconstructive surgery; virtual surgical planning
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The study demonstrates the effectiveness of using virtual surgical planning and computer-aided design/computer-aided manufacturing in cranial vault reconstruction, improving aesthetic outcomes and minimizing the risk of complications.
The use of virtual surgical planning and computer-aided design/computer-aided manufacturing has gained popularity in the surgical correction of craniosynostosis. This study expands the use of virtual surgical planning and computer-aided design/computer-aided manufacturing in cranial vault reconstruction by using these methods to reconstruct the anterior vault using a single endocortically-plated unit constructed from the posterior calvarium. This technique was designed to reduce the risk of undesirable contour deformities that can occur when multiple bone grafts are used to reconstruct the anterior vault and fronto-orbital rim. Six patients were included in this study, all of which had nonsyndromic craniosynostosis. Excellent aesthetic outcomes were obtained in all patients, without complication. Additionally, the placement of a single reconstructive unit constructed from the posterior calvarium was efficient, aesthetically pleasing, and minimized postoperative contour deformities secondary to bone gaps, resorption, and often palpable resorbable plates.
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