Subjective Assessment of Head and Facial Appearance in Children with Craniosynostoses after Surgical Treatment

Larysz, Dawid; Nieroba, Elżbieta

doi:10.3390/healthcare6040127

Cited by 4 publications

(15 citation statements)

References 30 publications

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“…This skull distortion is a genuine concern for the patients’ family and has potential psychosocial effects on the patient and their family. 5 Cranial vault reconstruction helps by dramatically correcting the deformity; however, the amount of symmetry varies despite this being the surgeon’s chief aim.…”

Section: Discussionmentioning

confidence: 99%

“… 2 , 4 Craniosynostosis can result in distinct clinical features that might represented a sincere concern for patient’s family members, in addition to having a psychosocial impact on the developing child. 5 …”

Section: Introductionmentioning

confidence: 99%

“…7 Symmetry is a desirable feature linked to a good cosmetic appearance, and as a result improves the psychosocial status of a patient. 5 The utility of different AR modalities was tried in different craniofacial interventions in which it has assisted in the perioperative planning of cranial vault reshaping, where it helped to ensure a higher level of symmetry. 5 …”

Section: Introductionmentioning

confidence: 99%

“… 5 The utility of different AR modalities was tried in different craniofacial interventions in which it has assisted in the perioperative planning of cranial vault reshaping, where it helped to ensure a higher level of symmetry. 5 …”

Section: Introductionmentioning

confidence: 99%

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Smartphone-assisted Augmented Reality in Craniofacial Surgery

Alshomer

Alazzam

AlTurki

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Augmented reality (AR), a blending of both the physical and digital worlds, can be a valid tool for surgeons wishing to plan interventions and attain symmetry. The use of technology has enabled physicians to achieve desirable results. In this article, we describe a method that uses smartphone’s simple AR utilities for convenient, cost effective, and time saving perioperative planning. Methods: Images of preoperative computed tomography, along with 3D reconstructed scans were uploaded to a smartphone and used in an affordable application (Camera Lucida) to superimpose the loaded pictures over the smartphone camera. In one case, a 3D computed tomography scan of the skull was mirrored to help guide fronto-orbital advancement, and in another case the loaded 3D reconstructed computed tomography scan was used to prioritize areas of scalp coverage in a complicated case of craniosynostosis with major scalp wound dehiscence. Discussion: Adaptation of AR to assist in the field of craniofacial surgery has been introduced before in several studies that reported the use of computer-based guidance for cranial reshaping. The majority of these reports used sophisticated modalities, combining advanced image registration and tracking with specialized equipment. The utility of smartphone AR for cranial vault reconstruction provided good accuracy when visualizing fronto-orbital advancement and remodeling, together with in depth prioritization of areas in need of soft tissue reconstruction. Conclusion: Smartphone AR adaptation proved to be a very convenient tool assisting in the planning of different craniofacial conditions that are time saving and do not incur any additional fees beyond those of the surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Smartphone-assisted Augmented Reality in Craniofacial Surgery

Alshomer

Alazzam

AlTurki

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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“…9,10 As a result, the aesthetic outcome of the surgical correction plays a more important role in these cases for both patients and their caregivers. 11 This applies to the related aspects of individual self-perception and associated social acceptance. 11,12 Such an evaluation of the surgical outcome, however, is not always done in a systematic way and can be subject mainly to the surgeon's impression.…”

mentioning

confidence: 99%

Do standard surgical techniques lead to satisfying aesthetic results in nonsyndromic sagittal suture synostosis?

Millesi

Preischer

Reinprecht

2021

Journal of Neurosurgery: Pediatrics

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OBJECTIVE Surgical correction of synostotic cranial sutures is typically performed early in an affected child’s life. Depending on the severity of the cranial synostoses, different aspects of the surgical treatment may have varying degrees of importance. In this sense, the aesthetic appearance in children with normal neurological development in single-suture synostosis plays an important role in self-perception and social acceptance for both the patients themselves and their caregivers. Therefore, in this study, the authors aimed to evaluate the aesthetic outcome after surgical correction in a cohort of patients with nonsyndromic sagittal suture synostosis. METHODS Between December 2002 and December 2019, a total of 99 patients underwent surgical correction of a synostotic sagittal suture at the Medical University of Vienna. Depending on their age, patients underwent either an extended midline strip craniectomy (EMSC) (< 4 months) or a modified pi procedure (MPP) (≥ 4 months). After the surgical procedure, the outcome was evaluated by the treating neurosurgeon at 1- and 12-month follow-up visits, and after approximately 5 years, before the patient entered elementary school. In addition to that, the patients’ caregivers were asked to evaluate the aesthetic outcome of the surgical procedure after 12 months. These results were then compared to evaluate potential differences in the perception of the surgical outcome. RESULTS After 12 months, the majority of the included patients were evaluated as having a good aesthetic outcome by the treating neurosurgeon (97%) and by their caregivers (89%). These differences did not show statistical significance (p = 0.11). Similarly, no differences in the aesthetic outcome depending on the surgical procedure performed could be found (p = 0.55). At the last follow-up visit, before entering elementary school, all available patients had an excellent or good surgical outcome. Moreover, the majority of caregivers (73%) reported that their child had a normal head shape appearance after surgical correction. CONCLUSIONS The results of this study have suggested that surgical correction of sagittal suture synostosis by simple operative techniques leads to a good aesthetic outcome and a normal head shape appearance in the majority of patients. An analysis of the evaluation of the surgical outcome by either the treating neurosurgeon or the patient caregivers showed comparable results and, thus, early intervention with simple surgical techniques can be recommended.

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From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier

Sullivan,

Skladman,

Varagur

et al. 2023

J Reconstr Microsurg

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Background: Augmented reality (AR) and virtual reality (VR)—termed mixed reality—has shown promise in the care of operative patients. Currently, AR and VR has well-known applications for craniofacial surgery, specifically in preoperative planning. However, the application of AR/VR technology to other reconstructive challenges has not been widely adopted. Thus, the purpose of this investigation is to outline the current applications of AR and VR in the operative setting. Methods: Literature pertaining to the use of AR/VR technology in the operative setting was examined. Emphasis was placed on the use of mixed reality technology in surgical subspecialities, including plastic surgery, oral and maxillofacial surgery, colorectal surgery, neurosurgery, otolaryngology, neurosurgery, and orthopedic surgery. Results: Presently, mixed reality is widely used in the care of patients requiring complex reconstruction of the craniomaxillofacial skeleton for pre- and intraoperative planning. For upper extremity amputees there is evidence that VR may be efficacious in the treatment of phantom limb pain. Furthermore, VR has untapped potential as a cost-effective tool for microsurgical education and for training residents on techniques surgical and non-surgical aesthetic treatment. There is utility for mixed reality in breast reconstruction for preoperative planning, mapping perforators, and decreasing operative time. VR has been especially well documented for the planning of deep inferior epigastric perforator (DIEP) by creating 3D immersive simulation based on a patient’s preoperative CT angiogram. Conclusions: The benefits of AR and VR are numerous to both patients and surgeons. Virtual reality has been shown to increase surgical precision and decrease operative time. Furthermore, it is effective for patient specific rehearsal (PsR) which uses the patient’s exact anatomical data to rehearse the procedure before performing it on the actual patient. Taken together, AR/VR technology can improve patient outcomes, decrease operative times, and lower the burden of care on both patients and healthcare institutions.

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Subjective Assessment of Head and Facial Appearance in Children with Craniosynostoses after Surgical Treatment

Cited by 4 publications

References 30 publications

Smartphone-assisted Augmented Reality in Craniofacial Surgery

Smartphone-assisted Augmented Reality in Craniofacial Surgery

Do standard surgical techniques lead to satisfying aesthetic results in nonsyndromic sagittal suture synostosis?

From Augmented to Virtual Reality in Plastic Surgery: Blazing the Trail to a New Frontier

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