Virtual surgical planning in craniomaxillofacial surgery: a structured review

Velarde, Kaye; Cafino, Rentor; Isla, Armando; Ty, Karen Mae; Palmer, Xavier-Lewis; Potter, Lucas; Nadorra, Larry; Pueblos, Luchin Valrian; Velasco, Lemuel Clark

doi:10.1080/24699322.2023.2271160

Cited by 11 publications

(3 citation statements)

References 61 publications

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“…One of the advantages of virtual planning is the reproducibility of the results, potentially allowing novice surgeons to achieve the same outcomes as more experienced surgeons in case of accurate preoperative planning [22,23].…”

Section: Discussionmentioning

confidence: 99%

15-Year Experience in Maxillofacial Surgical Navigation with Tracked Instruments

Novelli,

Santamato,

Piza Moragues

et al. 2024

Surgical Techniques Development

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(1) Introduction and Aim: Surgical navigation has evolved as a vital tool in maxillofacial surgery, offering precise and patient-specific data. This study explores the clinical applications and accuracy of intraoperative tool tracking in maxillofacial surgery. (2) Materials and Methods: The research includes 42 patients with various pathologies who underwent surgeries assisted by a surgical navigation system using tracked instruments. Four representative cases are exhibited in the study: the first case involving coronoid hyperplasia with mouth opening deficit, the second case addressing naso-orbital-ethmoidal-frontal ossifying fibroma resection, the third case showcasing a subapical osteotomy (Köle) for a class III dentoskeletal malocclusion, and the fourth one exposing the treatment of a recurrent ameloblastoma. (3) Results: The results indicate that surgical navigation with tracked instruments provides high precision (<1.5 mm error), reduced surgical time, and a less invasive approach. (4) Conclusions: This study highlights the potential for reproducible outcomes and increased safety, especially in complex cases. Despite some limitations, the synergy between surgical navigation and tracked instruments offers a promising approach in maxillofacial surgery, expanding its applications beyond current practices.

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Section: Discussionmentioning

confidence: 99%

15-Year Experience in Maxillofacial Surgical Navigation with Tracked Instruments

Novelli,

Santamato,

Piza Moragues

et al. 2024

Surgical Techniques Development

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“…Through precise preoperative visualization and planning, CSP surpasses the limitations of standard approaches, leading to improved patient outcomes. 65…”

Section: Discussionmentioning

confidence: 99%

Practical Considerations in Computerized Surgical Planning for Frontofacial Surgery

Blondin,

Dunson,

Runyan

2024

Semin Plast Surg

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The field of frontofacial surgery has advanced considerably, building on the pioneering techniques of Paul Tessier, with computerized surgical planning (CSP) emerging as a critical component. CSP has enhanced the precision and efficiency of surgeries for craniofacial dysostoses and hypertelorism, resulting in improved outcomes. This review delves into the importance of understanding orbital anatomy and the crucial bony and soft tissue landmarks essential to the application of CSP in frontofacial procedures, encompassing Le Fort III and monobloc advancements, as well as the correction of hypertelorism.

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“…Most notably, the aforementioned technologies have been used extensively for cranio-maxillofacial (CMF) reconstruction in the form of virtual surgical planning (VSP). [4][5][6] Often, VSP is undertaken by third party entities whose engineers use 3D modeling software and high-fidelity 3D printers to create custom cutting guides and bespoke surgical titanium fixation plates. While the use of VSP has been shown to decrease operating time, improve patient satisfaction, and be of immense educational value to surgeons, this outsourced service is costly and creates a turn-around time on the order of weeks.…”

Section: Introductionmentioning

confidence: 99%

Establishing a Resident-Driven Three-Dimensional Printing Lab Within an Academic Institution

Kamenko,

Shepard,

Ferry

et al. 2024

FACE

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Background: Three-dimensional (3D) modeling and printing technologies have been increasingly used throughout healthcare for research, educational, and clinical purposes. Despite the benefits associated with their use in surgical training, the literature poorly outlines the value of establishing an in-house, resident-driven 3D printing lab. Herein, we outline our quantifiable experience with our 3D printing lab and outline all necessary components needed to establish a lab such that the reader can replicate our experience at their institution. Additionally, we outline the process of creating a 3D-printed model from patient imaging with supplementary tutorial videos. Methods: A retrospective review of all 3D-printed models created in our in-house 3D printing lab since its creation in 2022 was performed. 3D-printed models that were utilized for formal educational or clinical purposes were included in this study. All 3D-printed models were created using the Raise3D 2 Pro. Cost estimates associated with each print were collected from the printer’s cost estimation function. Results: A total of 14 3D-printed models met the inclusion criteria for our study. Of these, 4 (28.6%) were utilized for patient and/or resident education with the remaining 10 (71.4%) being used in patient care. By and large, the average cost of educational 3D-printed models was greater than clinical models ($12.00 vs $1.50, respectively). Ten 3D-printed models of mandibular fractures were successfully used to pre-bend plates prior to reconstructive surgery, and minimal intraoperative adjustment of the plate was required for each case. The processes of establishing a 3D printing lab along with creating a 3D-printed model from patient imaging are outlined. Conclusion: Establishing a 3D printing lab is an attainable feat for most institutions. High-value clinical and educational tools can be created for a reasonable price once the initial overhead costs of establishing a lab are covered.

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Virtual surgical planning in craniomaxillofacial surgery: a structured review

Cited by 11 publications

References 61 publications

15-Year Experience in Maxillofacial Surgical Navigation with Tracked Instruments

15-Year Experience in Maxillofacial Surgical Navigation with Tracked Instruments

Practical Considerations in Computerized Surgical Planning for Frontofacial Surgery

Establishing a Resident-Driven Three-Dimensional Printing Lab Within an Academic Institution

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