Virtual Surgical Planning: The Pearls and Pitfalls
Objective:. Over the past few years, virtual surgical planning (VSP) has evolved into a useful tool for the craniofacial surgeon. Virtual planning and computer-aided design and manufacturing (CAD/CAM) may assist in orthognathic, cranio-orbital, traumatic, and microsurgery of the craniofacial skeleto...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2018-01-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001443 |
| _version_ | 1819076585726148608 |
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| author | Johnny I. Efanov, MD Andrée-Anne Roy, MD Ke N. Huang, MD Daniel E. Borsuk, MD, MBA |
| author_facet | Johnny I. Efanov, MD Andrée-Anne Roy, MD Ke N. Huang, MD Daniel E. Borsuk, MD, MBA |
| author_sort | Johnny I. Efanov, MD |
| collection | DOAJ |
| description | Objective:. Over the past few years, virtual surgical planning (VSP) has evolved into a useful tool for the craniofacial surgeon. Virtual planning and computer-aided design and manufacturing (CAD/CAM) may assist in orthognathic, cranio-orbital, traumatic, and microsurgery of the craniofacial skeleton. Despite its increasing popularity, little emphasis has been placed on the learning curve.
Methods:. A retrospective analysis of consecutive virtual surgeries was done from July 2012 to October 2016 at the University of Montreal Teaching Hospitals. Orthognathic surgeries and free vascularized bone flap surgeries were included in the analysis.
Results:. Fifty-four virtual surgeries were done in the time period analyzed. Forty-six orthognathic surgeries and 8 free bone transfers were done. An analysis of errors was done. Eighty-five percentage of the orthognathic virtual plans were adhered to completely, 4% of the plans were abandoned, and 11% were partially adhered to. Seventy-five percentage of the virtual surgeries for free tissue transfers were adhered to, whereas 25% were partially adhered to. The reasons for abandoning the plans were (1) poor communication between surgeon and engineer, (2) poor appreciation for condyle placement on preoperative scans, (3) soft-tissue impedance to bony movement, (4) rapid tumor progression, (5) poor preoperative assessment of anatomy.
Conclusion:. Virtual surgical planning is a useful tool for craniofacial surgery but has inherent issues that the surgeon must be aware of. With time and experience, these surgical plans can be used as powerful adjuvants to good clinical judgement. |
| first_indexed | 2024-12-21T18:43:39Z |
| format | Article |
| id | doaj.art-e4bf316f8b8d4c618b02819b5bc689e6 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-21T18:43:39Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-e4bf316f8b8d4c618b02819b5bc689e62022-12-21T18:53:57ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742018-01-0161e144310.1097/GOX.0000000000001443201801000-00017Virtual Surgical Planning: The Pearls and PitfallsJohnny I. Efanov, MD0Andrée-Anne Roy, MD1Ke N. Huang, MD2Daniel E. Borsuk, MD, MBA3From the Plastic and Reconstructive Surgery Service, Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, Canada.From the Plastic and Reconstructive Surgery Service, Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, Canada.From the Plastic and Reconstructive Surgery Service, Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, Canada.From the Plastic and Reconstructive Surgery Service, Centre Hospitalier Universitaire Sainte-Justine, University of Montreal, Montreal, Canada.Objective:. Over the past few years, virtual surgical planning (VSP) has evolved into a useful tool for the craniofacial surgeon. Virtual planning and computer-aided design and manufacturing (CAD/CAM) may assist in orthognathic, cranio-orbital, traumatic, and microsurgery of the craniofacial skeleton. Despite its increasing popularity, little emphasis has been placed on the learning curve. Methods:. A retrospective analysis of consecutive virtual surgeries was done from July 2012 to October 2016 at the University of Montreal Teaching Hospitals. Orthognathic surgeries and free vascularized bone flap surgeries were included in the analysis. Results:. Fifty-four virtual surgeries were done in the time period analyzed. Forty-six orthognathic surgeries and 8 free bone transfers were done. An analysis of errors was done. Eighty-five percentage of the orthognathic virtual plans were adhered to completely, 4% of the plans were abandoned, and 11% were partially adhered to. Seventy-five percentage of the virtual surgeries for free tissue transfers were adhered to, whereas 25% were partially adhered to. The reasons for abandoning the plans were (1) poor communication between surgeon and engineer, (2) poor appreciation for condyle placement on preoperative scans, (3) soft-tissue impedance to bony movement, (4) rapid tumor progression, (5) poor preoperative assessment of anatomy. Conclusion:. Virtual surgical planning is a useful tool for craniofacial surgery but has inherent issues that the surgeon must be aware of. With time and experience, these surgical plans can be used as powerful adjuvants to good clinical judgement.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001443 |
| spellingShingle | Johnny I. Efanov, MD Andrée-Anne Roy, MD Ke N. Huang, MD Daniel E. Borsuk, MD, MBA Virtual Surgical Planning: The Pearls and Pitfalls Plastic and Reconstructive Surgery, Global Open |
| title | Virtual Surgical Planning: The Pearls and Pitfalls |
| title_full | Virtual Surgical Planning: The Pearls and Pitfalls |
| title_fullStr | Virtual Surgical Planning: The Pearls and Pitfalls |
| title_full_unstemmed | Virtual Surgical Planning: The Pearls and Pitfalls |
| title_short | Virtual Surgical Planning: The Pearls and Pitfalls |
| title_sort | virtual surgical planning the pearls and pitfalls |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000001443 |
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