Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair
Background:. Cranial vault reconstruction is a complex procedure due to the need for precise 3-dimensional outcomes. Traditionally, the process involves manual bending of calvarial bone and plates. With the advent of virtual surgical planning (VSP), this procedure can be streamlined. Despite the adv...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2018-12-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002038 |
| _version_ | 1818933670186057728 |
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| author | Tom W. Andrew, MBChB, MSc Joseph Baylan, MD Paul A. Mittermiller, MD Homan Cheng, MD Dana N. Johns, MD Michael S. B. Edwards, MD Sam H. Cheshier, MD Gerald A. Grant, MD H. Peter Lorenz, MD |
| author_facet | Tom W. Andrew, MBChB, MSc Joseph Baylan, MD Paul A. Mittermiller, MD Homan Cheng, MD Dana N. Johns, MD Michael S. B. Edwards, MD Sam H. Cheshier, MD Gerald A. Grant, MD H. Peter Lorenz, MD |
| author_sort | Tom W. Andrew, MBChB, MSc |
| collection | DOAJ |
| description | Background:. Cranial vault reconstruction is a complex procedure due to the need for precise 3-dimensional outcomes. Traditionally, the process involves manual bending of calvarial bone and plates. With the advent of virtual surgical planning (VSP), this procedure can be streamlined. Despite the advantages documented in the literature, there have been no case-control studies comparing VSP to traditional open cranial vault reconstruction.
Methods:. Data were retrospectively collected on patients who underwent craniosynostosis repair during a 7-year period. Information was collected on patient demographics, intraoperative and postoperative factors, and intraoperative surgical time. High-resolution computed tomography scans were used for preoperative planning with engineers when designing osteotomies, bone flaps, and final positioning guides.
Results:. A total of 66 patients underwent open craniosynostosis reconstruction between 2010 and 2017. There were 35 control (non-VSP) and 28 VSP cases. No difference in age, gender ratios, or number of prior operations was found. Blood loss was similar between the 2 groups. The VSP group had more screws and an increased length of postoperative hospital stay. The length of the operation was shorter in the VSP group for single suture and for multiple suture operations. Operative time decreased as the attending surgeon increased familiarity with the technique.
Conclusions:. VSP is a valuable tool for craniosynostosis repair. We found VSP decreases surgical time and allows for improved preoperative planning. Although there have been studies on VSP, this is the first large case-control study to be performed on its use in cranial vault remodeling. |
| first_indexed | 2024-12-20T04:52:04Z |
| format | Article |
| id | doaj.art-76238d73047646e5adf994658dfc0b98 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-20T04:52:04Z |
| publishDate | 2018-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-76238d73047646e5adf994658dfc0b982022-12-21T19:52:49ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742018-12-01612e203810.1097/GOX.0000000000002038201812000-00008Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis RepairTom W. Andrew, MBChB, MSc0Joseph Baylan, MD1Paul A. Mittermiller, MD2Homan Cheng, MD3Dana N. Johns, MD4Michael S. B. Edwards, MD5Sam H. Cheshier, MD6Gerald A. Grant, MD7H. Peter Lorenz, MD8From the * Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, Calif.† Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, Calif.† Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, Calif.† Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, Calif.† Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, Calif.‡ Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Stanford University, Stanford, Calif.‡ Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Stanford University, Stanford, Calif.‡ Division of Pediatric Neurosurgery, Department of Neurosurgery, School of Medicine, Stanford University, Stanford, Calif.From the * Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, Stanford, Calif.Background:. Cranial vault reconstruction is a complex procedure due to the need for precise 3-dimensional outcomes. Traditionally, the process involves manual bending of calvarial bone and plates. With the advent of virtual surgical planning (VSP), this procedure can be streamlined. Despite the advantages documented in the literature, there have been no case-control studies comparing VSP to traditional open cranial vault reconstruction. Methods:. Data were retrospectively collected on patients who underwent craniosynostosis repair during a 7-year period. Information was collected on patient demographics, intraoperative and postoperative factors, and intraoperative surgical time. High-resolution computed tomography scans were used for preoperative planning with engineers when designing osteotomies, bone flaps, and final positioning guides. Results:. A total of 66 patients underwent open craniosynostosis reconstruction between 2010 and 2017. There were 35 control (non-VSP) and 28 VSP cases. No difference in age, gender ratios, or number of prior operations was found. Blood loss was similar between the 2 groups. The VSP group had more screws and an increased length of postoperative hospital stay. The length of the operation was shorter in the VSP group for single suture and for multiple suture operations. Operative time decreased as the attending surgeon increased familiarity with the technique. Conclusions:. VSP is a valuable tool for craniosynostosis repair. We found VSP decreases surgical time and allows for improved preoperative planning. Although there have been studies on VSP, this is the first large case-control study to be performed on its use in cranial vault remodeling.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002038 |
| spellingShingle | Tom W. Andrew, MBChB, MSc Joseph Baylan, MD Paul A. Mittermiller, MD Homan Cheng, MD Dana N. Johns, MD Michael S. B. Edwards, MD Sam H. Cheshier, MD Gerald A. Grant, MD H. Peter Lorenz, MD Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair Plastic and Reconstructive Surgery, Global Open |
| title | Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair |
| title_full | Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair |
| title_fullStr | Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair |
| title_full_unstemmed | Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair |
| title_short | Virtual Surgical Planning Decreases Operative Time for Isolated Single Suture and Multi-suture Craniosynostosis Repair |
| title_sort | virtual surgical planning decreases operative time for isolated single suture and multi suture craniosynostosis repair |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002038 |
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