Computer applications in facial plastic and reconstructive surgery

doi:10.1097/MOO.0b013e3281df2c5f

Paper

Computer applications in facial plastic and reconstructive surgery

Published Aug 1, 2007 · Scott C. Fuller, E. B. Strong

Current Opinion in Otolaryngology & Head and Neck Surgery

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31

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0

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Abstract

Purpose of reviewComputer applications in facial plastic and reconstructive surgery continue to evolve as image-guided surgical technology and software applications improve. Surgeons use these technological advances in order to simplify complex and historically challenging reconstructive issues. This paper reviews the recent literature pertaining to advances in computer-aided presurgical planning and intraoperative navigation. Recent findingsAlthough many different computer-aided surgical applications have previously been described, the recent literature focuses on orbital, midface and mandibular reconstruction. These studies highlight primary and secondary repair of complex maxillofacial trauma using computer software platforms for analysis of computed tomography data, presurgical planning, and intraoperative navigation. SummaryComputer-assisted facial reconstructive surgery is an area which continues to evolve. The current technology is best served in the repair of complex primary or secondary posttraumatic deformities. Congenital and oncologic reconstructive applications, however, are growing rapidly. While computer-aided surgery has historically been limited to tertiary care centers, easy access to intraoperative navigation systems and more user friendly software applications make these techniques more accessible to a greater number of surgeons.

Study Snapshot

Key takeawayComputer-assisted facial reconstructive surgery is evolving to better repair complex posttraumatic deformities and is increasingly accessible to surgeons.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Computer applications in facial plastic and reconstructive surgery

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References

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This new procedure accurately preforms titanium implants for orbital fracture reconstruction, resulting in normal eye mobility and function after primary reconstruction.

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Individual preformed titanium meshes for orbital fractures.

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Computer-assisted extracorporeal orbital reconstruction after optic nerve decompression by removal of sphenoid bone.

Computer-assisted surgery effectively reconstructed the orbital cavity in a complex craniofacial surgery case using various methods.

Citations

Construction of non-linear mandibular resection guides using two different software sets: A technical note

This paper provides detailed guidance on designing and manufacturing tailor-made resection guides for maxillofacial surgery, improving accuracy and reducing surgical time.

Novel Technique and Step-by-Step Construction of a Computer-Guided Stent for Mandibular Distraction Osteogenesis.

3D printed surgical stents successfully transfer virtual treatment plans for mandibular distraction osteogenesis into the surgical theatre with an acceptable margin of error and without injury to vital structures.

Management of Zygomaticomaxillary Complex Fractures.

Zygomaticomaxillary fractures can be managed with closed or open reduction and internal fixation, with computer-aided applications reducing open reduction and improving accuracy.

Controversies in the Management of the Trauma Patient.

Trauma patients require individualized treatment plans, with controversy surrounding optimal timing, biomaterial use, and evaluation methods.

New approach for virtual surgical planning and mandibular reconstruction using a fibula free flap.

This new method for mandibular reconstruction using a fibula flap using open-source virtual design software and a desktop 3D printer offers shorter operation planning time, increased accuracy during osteotomy, and low costs.

Intraoperative Image Guidance Improves Outcomes in Complex Orbital Reconstruction by Novice Surgeons.

Surgical navigation improves post-dissection orbital volume in complex orbital reconstruction by novice surgeons, without affecting operative times or task load index scores.

Quantitative Assessment of Orbital Implant Position – A Proof of Concept

The Orbital Implant Positioning Frame effectively quantifies orbital implant position, providing more accurate feedback during and after surgery.

The management of naso-orbital-ethmoid (NOE) fractures.

NOE fractures require comprehensive clinical examination and radiographic analysis to create a patient-specific treatment plan to reduce complications and restore normal appearance and function.