The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis
Background:. Virtual surgical planning (VSP) decreases reliance on intraoperative subjective assessment of aesthetic and functional outcomes in craniofacial surgery. Here, we describe our experience of using VSP for complex craniosynostosis surgery to inform preoperative decision making and optimize...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2024-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005524 |
| _version_ | 1797341088391888896 |
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| author | Thomas A. Imahiyerobo, MD Alyssa B. Valenti, MD Sergio Guadix, MD Myles LaValley, BS Paul A. Asadourian, MD, Meng Michelle Buontempo, NP Mark Souweidane, MD Caitlin Hoffman, MD |
| author_facet | Thomas A. Imahiyerobo, MD Alyssa B. Valenti, MD Sergio Guadix, MD Myles LaValley, BS Paul A. Asadourian, MD, Meng Michelle Buontempo, NP Mark Souweidane, MD Caitlin Hoffman, MD |
| author_sort | Thomas A. Imahiyerobo, MD |
| collection | DOAJ |
| description | Background:. Virtual surgical planning (VSP) decreases reliance on intraoperative subjective assessment of aesthetic and functional outcomes in craniofacial surgery. Here, we describe our experience of using VSP for complex craniosynostosis surgery to inform preoperative decision making and optimize postoperative outcomes.
Methods:. Chart review was performed for children treated with craniosynostosis at our institution from 2015 to 2021. Eight VSP maneuvers were defined and assigned to each patient when applicable: (1) complex cranioplasty: combined autologous and synthetic; (2) autologous cranioplasty; (3) synthetic cranioplasty; (4) vector analysis and distractor placement; (5) complex osteotomies; (6) multilayered intraoperative plans; (7) volume analysis; and (8) communication with parents. Outcomes between VSP and non-VSP cohorts were compared.
Results:. Of 166 total cases, 32 were considered complex, defined by multisutural craniosynostosis, syndromic craniosynostosis, or revision status. Of these complex cases, 20 underwent VSP and 12 did not. There was no difference in mean operative time between the VSP and non-VSP groups (541 versus 532 min, P = 0.82) or in unexpected return to operating room (10.5% versus 8.3%, P = 0.84). VSP was most often used to communicate the surgical plan with parents (90%) and plan complex osteotomies (85%).
Conclusions:. In this cohort, VSP was most often used to communicate the surgical plan with families and plan complex osteotomies. Our results indicate that VSP may improve intraoperative efficiency and safety for complex craniosynostosis surgery. This tool can be considered a useful adjunct to plan and guide intraoperative decisions in complex cases, reducing variability and guiding parental expectations. |
| first_indexed | 2024-03-08T10:12:49Z |
| format | Article |
| id | doaj.art-8cc9d7a410b041bd928803473bc08481 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-08T10:12:49Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8cc9d7a410b041bd928803473bc084812024-01-29T07:01:15ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742024-01-01121e552410.1097/GOX.0000000000005524202401000-00010The Role of Virtual Surgical Planning in Surgery for Complex CraniosynostosisThomas A. Imahiyerobo, MD0Alyssa B. Valenti, MD1Sergio Guadix, MD2Myles LaValley, BS3Paul A. Asadourian, MD, Meng4Michelle Buontempo, NP5Mark Souweidane, MD6Caitlin Hoffman, MD7From the * Department of Plastic Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, N.Y.From the * Department of Plastic Surgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, N.Y.‡ Department of Neurosurgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, N.Y.† Department of Plastic Surgery, New York Presbyterian Hospital, Columbia University Vagelos College of Physicians and Surgeons, New York, N.Y.† Department of Plastic Surgery, New York Presbyterian Hospital, Columbia University Vagelos College of Physicians and Surgeons, New York, N.Y.‡ Department of Neurosurgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, N.Y.‡ Department of Neurosurgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, N.Y.‡ Department of Neurosurgery, New York Presbyterian Hospital, Weill Cornell Medical College, New York, N.Y.Background:. Virtual surgical planning (VSP) decreases reliance on intraoperative subjective assessment of aesthetic and functional outcomes in craniofacial surgery. Here, we describe our experience of using VSP for complex craniosynostosis surgery to inform preoperative decision making and optimize postoperative outcomes. Methods:. Chart review was performed for children treated with craniosynostosis at our institution from 2015 to 2021. Eight VSP maneuvers were defined and assigned to each patient when applicable: (1) complex cranioplasty: combined autologous and synthetic; (2) autologous cranioplasty; (3) synthetic cranioplasty; (4) vector analysis and distractor placement; (5) complex osteotomies; (6) multilayered intraoperative plans; (7) volume analysis; and (8) communication with parents. Outcomes between VSP and non-VSP cohorts were compared. Results:. Of 166 total cases, 32 were considered complex, defined by multisutural craniosynostosis, syndromic craniosynostosis, or revision status. Of these complex cases, 20 underwent VSP and 12 did not. There was no difference in mean operative time between the VSP and non-VSP groups (541 versus 532 min, P = 0.82) or in unexpected return to operating room (10.5% versus 8.3%, P = 0.84). VSP was most often used to communicate the surgical plan with parents (90%) and plan complex osteotomies (85%). Conclusions:. In this cohort, VSP was most often used to communicate the surgical plan with families and plan complex osteotomies. Our results indicate that VSP may improve intraoperative efficiency and safety for complex craniosynostosis surgery. This tool can be considered a useful adjunct to plan and guide intraoperative decisions in complex cases, reducing variability and guiding parental expectations.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005524 |
| spellingShingle | Thomas A. Imahiyerobo, MD Alyssa B. Valenti, MD Sergio Guadix, MD Myles LaValley, BS Paul A. Asadourian, MD, Meng Michelle Buontempo, NP Mark Souweidane, MD Caitlin Hoffman, MD The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis Plastic and Reconstructive Surgery, Global Open |
| title | The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis |
| title_full | The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis |
| title_fullStr | The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis |
| title_full_unstemmed | The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis |
| title_short | The Role of Virtual Surgical Planning in Surgery for Complex Craniosynostosis |
| title_sort | role of virtual surgical planning in surgery for complex craniosynostosis |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005524 |
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