The Use of Virtual Surgical Planning for Reduction Cranioplasty
Summary:. Hydrocephalic macrocephaly may occur as a result of untreated hydrocephalus. Reduction cranioplasty is the treatment of choice for these patients when the weight of their head interferes with normal development and negatively impacts quality of life. However, this procedure has several ass...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2020-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002565 |
| _version_ | 1818250335481757696 |
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| author | Eli Saleh, MD Alexander Govshievich, MD Julian Justino, MD Alexander G. Weil, MD, FRCSC, FACS Daniel E. Borsuk, MD, FRCSC, FACS |
| author_facet | Eli Saleh, MD Alexander Govshievich, MD Julian Justino, MD Alexander G. Weil, MD, FRCSC, FACS Daniel E. Borsuk, MD, FRCSC, FACS |
| author_sort | Eli Saleh, MD |
| collection | DOAJ |
| description | Summary:. Hydrocephalic macrocephaly may occur as a result of untreated hydrocephalus. Reduction cranioplasty is the treatment of choice for these patients when the weight of their head interferes with normal development and negatively impacts quality of life. However, this procedure has several associated risks, including prolonged anesthesia, significant blood loss, and death. Virtual surgical planning (VSP) has been shown to be a useful adjunct for orthognathic and craniofacial surgery. The following report details the application and advantages of this technology in the setting of a reduction cranioplasty. We report the case of a 2-year-old girl with severe hydrocephalic macrocephaly who underwent a reduction cranioplasty guided by VSP with computer-aided design and manufacturing (CAD/CAM). Prefabricated cutting guides and a concave assembly bowl were used for precise fixation of bony segments. Our patient underwent a successful reduction cranioplasty using VSP and CAD/CAM. This technology allowed precise remodeling of the cranial vault with minimal bony gaps in the final construct. Head circumference and intracranial volume were reduced from 70 cm and 4,575 cm3 to 62 cm and 2,645 cm3, respectively. VSP with CAD/CAM can serve as a useful adjunct in complex cases of cranioplasty allowing for an increase in the precision, the efficacy, and the esthetic result. |
| first_indexed | 2024-12-12T15:50:45Z |
| format | Article |
| id | doaj.art-37aec1659a9c4c05b2e00bf796a99a5f |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-12T15:50:45Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-37aec1659a9c4c05b2e00bf796a99a5f2022-12-22T00:19:37ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-01-0181e256510.1097/GOX.0000000000002565202001000-00032The Use of Virtual Surgical Planning for Reduction CranioplastyEli Saleh, MD0Alexander Govshievich, MD1Julian Justino, MD2Alexander G. Weil, MD, FRCSC, FACS3Daniel E. Borsuk, MD, FRCSC, FACS4From the * Division of Plastic and Reconstructive Surgery, University of MontrealFrom the * Division of Plastic and Reconstructive Surgery, University of MontrealFrom the * Division of Plastic and Reconstructive Surgery, University of Montreal† Division of Neurosurgery, Sainte-Justine Hospital, University of Montreal‡ Division of Plastic and Reconstructive Surgery, Sainte-Justine Hospital, University of Montreal, Montreal, Quebec, Canada.Summary:. Hydrocephalic macrocephaly may occur as a result of untreated hydrocephalus. Reduction cranioplasty is the treatment of choice for these patients when the weight of their head interferes with normal development and negatively impacts quality of life. However, this procedure has several associated risks, including prolonged anesthesia, significant blood loss, and death. Virtual surgical planning (VSP) has been shown to be a useful adjunct for orthognathic and craniofacial surgery. The following report details the application and advantages of this technology in the setting of a reduction cranioplasty. We report the case of a 2-year-old girl with severe hydrocephalic macrocephaly who underwent a reduction cranioplasty guided by VSP with computer-aided design and manufacturing (CAD/CAM). Prefabricated cutting guides and a concave assembly bowl were used for precise fixation of bony segments. Our patient underwent a successful reduction cranioplasty using VSP and CAD/CAM. This technology allowed precise remodeling of the cranial vault with minimal bony gaps in the final construct. Head circumference and intracranial volume were reduced from 70 cm and 4,575 cm3 to 62 cm and 2,645 cm3, respectively. VSP with CAD/CAM can serve as a useful adjunct in complex cases of cranioplasty allowing for an increase in the precision, the efficacy, and the esthetic result.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002565 |
| spellingShingle | Eli Saleh, MD Alexander Govshievich, MD Julian Justino, MD Alexander G. Weil, MD, FRCSC, FACS Daniel E. Borsuk, MD, FRCSC, FACS The Use of Virtual Surgical Planning for Reduction Cranioplasty Plastic and Reconstructive Surgery, Global Open |
| title | The Use of Virtual Surgical Planning for Reduction Cranioplasty |
| title_full | The Use of Virtual Surgical Planning for Reduction Cranioplasty |
| title_fullStr | The Use of Virtual Surgical Planning for Reduction Cranioplasty |
| title_full_unstemmed | The Use of Virtual Surgical Planning for Reduction Cranioplasty |
| title_short | The Use of Virtual Surgical Planning for Reduction Cranioplasty |
| title_sort | use of virtual surgical planning for reduction cranioplasty |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002565 |
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