3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi
Summary:. Tissue expansion with subsequent adjacent tissue transfer is often the preferred and sometimes the only option for reconstruction of large and giant congenital melanocytic nevi. Successful reconstruction with maximal efficiency and optimal aesthetic outcome requires careful planning of the...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005299 |
| _version_ | 1797646887809974272 |
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| author | Santana S. Solomon, BS Thomas J. Sitzman, MD, MPH |
| author_facet | Santana S. Solomon, BS Thomas J. Sitzman, MD, MPH |
| author_sort | Santana S. Solomon, BS |
| collection | DOAJ |
| description | Summary:. Tissue expansion with subsequent adjacent tissue transfer is often the preferred and sometimes the only option for reconstruction of large and giant congenital melanocytic nevi. Successful reconstruction with maximal efficiency and optimal aesthetic outcome requires careful planning of the tissue transfer, which itself requires careful selection of the tissue expander size and positioning. Unfortunately, there is little opportunity to gain experience in these skills due to the rarity of this condition. In situations where there is a rare condition that requires a complex technical procedure with much interoperative decision-making, surgical experience can be supplemented with the use of surgical simulation. In this article, we report on the use of three-dimensional patient imaging, three-dimensional printing, and surgical simulation for planning the reconstruction of large and giant congenital melanocytic nevi. We describe how this technology allows us to simulate multiple different approaches to expander placement and adjacent tissue transfer. We also describe how these simulations can be used to create cutting guides to guide final incision design and reduce intraoperative decision-making. Finally, we discuss how these models can be used to educate patients and families about the process and outcomes of nevus excision and reconstruction. |
| first_indexed | 2024-03-11T15:08:21Z |
| format | Article |
| id | doaj.art-ef064a7f20934497b13be4e664aef826 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-03-11T15:08:21Z |
| publishDate | 2023-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-ef064a7f20934497b13be4e664aef8262023-10-30T03:42:20ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-09-01119e529910.1097/GOX.0000000000005299202309000-000743D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic NeviSantana S. Solomon, BS0Thomas J. Sitzman, MD, MPH1From the * University of Arizona College of Medicine—Phoenix, Phoenix, Ariz.† Division of Plastic Surgery, Phoenix Children’s Hospital, Phoenix, Ariz.Summary:. Tissue expansion with subsequent adjacent tissue transfer is often the preferred and sometimes the only option for reconstruction of large and giant congenital melanocytic nevi. Successful reconstruction with maximal efficiency and optimal aesthetic outcome requires careful planning of the tissue transfer, which itself requires careful selection of the tissue expander size and positioning. Unfortunately, there is little opportunity to gain experience in these skills due to the rarity of this condition. In situations where there is a rare condition that requires a complex technical procedure with much interoperative decision-making, surgical experience can be supplemented with the use of surgical simulation. In this article, we report on the use of three-dimensional patient imaging, three-dimensional printing, and surgical simulation for planning the reconstruction of large and giant congenital melanocytic nevi. We describe how this technology allows us to simulate multiple different approaches to expander placement and adjacent tissue transfer. We also describe how these simulations can be used to create cutting guides to guide final incision design and reduce intraoperative decision-making. Finally, we discuss how these models can be used to educate patients and families about the process and outcomes of nevus excision and reconstruction.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005299 |
| spellingShingle | Santana S. Solomon, BS Thomas J. Sitzman, MD, MPH 3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi Plastic and Reconstructive Surgery, Global Open |
| title | 3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi |
| title_full | 3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi |
| title_fullStr | 3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi |
| title_full_unstemmed | 3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi |
| title_short | 3D Printing and Surgical Simulation for Management of Large and Giant Congenital Melanocytic Nevi |
| title_sort | 3d printing and surgical simulation for management of large and giant congenital melanocytic nevi |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005299 |
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