Preoperative Head and Neck Surgical Planning with Computer-Assisted Design and Modeling

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• 作者：John T. Stranix ; Casian Monaco ; Lawrence E. Brecht…
• 关键词：CAD/CAM ; Virtual surgical planning ; Preoperative planning ; Craniofacial reconstruction ; Computer ; assisted surgery
• 刊名：Current Surgery Reports
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：4
• 期：3
• 全文大小：1,085 KB
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  22.Chang SY, Huang JJ, Tsao CK, Nguyen A, Mittakanti K, Lin CY, et al. Does ischemia time affect the outcome of free fibula flaps for head and neck reconstruction? A review of 116 cases. Plast Reconstr Surg. 2010;126(6):1988–95. doi:10.​1097/​PRS.​0b013e3181f448c8​ .CrossRef PubMed
  23.• Marre D, Hontanilla B. Increments in ischaemia time induces microvascular complications in the DIEP flap for breast reconstruction. J Plast Reconstr Aesthet Surg JPRAS. 2013;66(1):80–6. doi:10.​1016/​j.​bjps.​2012.​08.​024 . Longer ischemia times were associated with an increased incidence of complications in deep inferior epigastric perforator free flaps.
  
• 作者单位：John T. Stranix (1)
  Casian Monaco (1)
  Lawrence E. Brecht (1)
  David L. Hirsch (1)
  Jamie P. Levine (1)
  
  1. Hansjörg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York University, 305 East 33rd Street, New York, NY, 10016, USA
  
• 刊物主题：Surgery;
• 出版者：Springer US
• ISSN：2167-4817

文摘

Virtual surgical planning (VSP) has significantly impacted modern head and neck surgery. Over the past decade, advancements in computer-assisted design (CAD) software have been applied to high-resolution three-dimensional imaging technology to generate powerful tools for planning complex craniofacial resections and reconstructions. These virtual surgical plans incorporate the design of intraoperative surgical guides that are generated through the process of computer-assisted manufacturing (CAM). Virtually planned procedures are then translated to the operating room where they are carried out with unparalleled precision and efficiency. This process allows for accurate operative design that reliably achieves predicted results. Surgical teams are now able to formulate single-staged ablative/reconstructive procedures all the way through to prosthetic dentition and expected soft-tissue outcomes. Recent studies have demonstrated the benefits of preoperative CAD/CAM surgical planning for oncologic resections with immediate reconstructions, severe facial trauma, complex orthognathic and temporomandibular joint procedures, esthetic surgery, and composite tissue allotransplantation. We provide an overview of CAD/CAM applications in head and neck surgery and review the evidence to date regarding the use of preoperative VSP in complex craniofacial reconstruction. Keywords CAD/CAM Virtual surgical planning Preoperative planning Craniofacial reconstruction Computer-assisted surgery