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Virtual Surgical Planning and Patient Specific Surgical Templates and Precontoured Bone Plates

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Craniomaxillofacial Reconstructive and Corrective Bone Surgery
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Abstract

Virtual Surgical Planning (VSP) based on CT data has become widely used for orthognathic surgery, distraction osteogenesis, cancer reconstruction, trauma, and custom bone plate fabrication. Software planning utilizing 3D images provides surgeons with unparalleled visual tools for the understanding of patient’s deformities, pathology, and defects for surgical treatment. Surgeons can visualize and plan precise segmented images of cut bone segments and their repositioning, the creation of sectioned bone grafts, placement of dental implants, and develop facial and cranial implants.

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References

  1. Swennen GR, Mollemans W, Schutyser F. Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg. 2009;67(10):2080–92.

    Article  Google Scholar 

  2. Lin HH, Chang HW, Wang CH, Kim SG, Lo LJ. Three-dimensional computer-assisted orthognathic surgery: experience of 37 patients. Ann Plast Surg. 2015;74(Suppl 2):S118–26.

    Article  CAS  Google Scholar 

  3. Resnick CM, Inverso G, Wrzosek M, Padwa BL, Kaban LB, Peacock ZS. Is there a difference in cost between standard and virtual surgical planning for orthognathic surgery? J Oral Maxillofac Surg. 2016;74(9):1827–33.

    Article  Google Scholar 

  4. Wrzosek MK, Peacock ZS, Laviv A, Goldwaser BR, Ortiz R, Resnick CM, Troulis MJ, Kaban LB. Comparison of time required for traditional versus virtual orthognathic surgery treatment planning. Int J Oral Maxillofac Surg. 2016;45(9):1065–9.

    Article  CAS  Google Scholar 

  5. Hatamleh M, Turner C, Bhamrah G, Mack G, Osher J. Improved virtual planning for bimaxillary orthognathic surgery. J Craniofac Surg. 2016;27(6):e568–73.

    Article  Google Scholar 

  6. Brunso J, Franco M, Constantinescu T, Barbier L, SantamarĂ­a JA, Alvarez J. Custom-machined miniplates and bone-supported guides for orthognathic surgery: a new surgical procedure. J Oral Maxillofac Surg. 2016;74(5):1061.e1.

    Article  Google Scholar 

  7. Schouman T, Rouch P, Imholz B, Fasel J, Courvoisier D, Scolozzi P. Accuracy evaluation of CAD/CAM generated splints in orthognathic surgery: a cadaveric study. Head Face Med. 2015;11:24.

    Article  Google Scholar 

  8. Burstone CJ, James RB, Legan H, Murphy GA, Norton LA. Cephalometrics for orthognathic surgery. J Oral Surg. 1978;36(4):269–77.

    CAS  PubMed  Google Scholar 

  9. Steinbacher DM. Three-dimensional analysis and surgical planning in craniomaxillofacial surgery. J Oral Maxillofac Surg. 2015;73(12 Suppl):S40–56.

    Article  Google Scholar 

  10. Seeberger R, Davids R, Kater W, Thiele OC. Use of stereolithographic drilling and cutting guides in bilateral mandibular distraction. J Craniofac Surg. 2011;22(6):2031–5.

    Article  Google Scholar 

  11. Robiony M, Salvo I, Costa F, Zerman N, Bazzocchi M, Toso F, Bandera C, Filippi S, Felice M, Politi M. Virtual reality surgical planning for maxillofacial distraction osteogenesis: the role of reverse engineering rapid prototyping and cooperative work. J Oral Maxillofac Surg. 2007;65(6):1198–208.

    Article  Google Scholar 

  12. Varol A, Basa S. The role of computer-aided 3D surgery and stereolithographic modelling for vector orientation in premaxillary and trans-sinusoidal maxillary distraction osteogenesis. Int J Med Robot. 2009;5(2):198–206.

    Article  Google Scholar 

  13. Yeshwant K, Seldin EB, Gateno J, Everett P, White CL, Kikinis R, Kaban LB, Troulis MJ. Analysis of skeletal movements in mandibular distraction osteogenesis. J Oral Maxillofac Surg. 2005;63(3):335–40.

    Article  Google Scholar 

  14. Gateno J, Teichgraeber JF, Xia JJ. Three-dimensional surgical planning for maxillary and midface distraction osteogenesis. J Craniofac Surg. 2003;14(6):833–9.

    Article  Google Scholar 

  15. Wang YY, Zhang HQ, Fan S, Zhang DM, Huang ZQ, Chen WL, Ye JT, Li JS. Mandibular reconstruction with the vascularized fibula flap: comparison of virtual planning surgery and conventional surgery. Int J Oral Maxillofac Surg. 2016;45(11):1400–5.

    Article  CAS  Google Scholar 

  16. Mottini M, Seyed Jafari SM, Shafighi M, Schaller B. New approach for virtual surgical planning and mandibular reconstruction using a fibula free flap. Oral Oncol. 2016;59:e6–9.

    Article  Google Scholar 

  17. Wang YY, Fan S, Zhang HQ, Lin ZY, Ye JT, Li JS. Virtual surgical planning in precise maxillary reconstruction with vascularized fibular graft after tumor ablation. J Oral Maxillofac Surg. 2016;74(6):1255–64.

    Article  Google Scholar 

  18. Cornelius CP, Giessler GA, Wilde F, Metzger MC, Mast G, Probst FA. Iterations of computer- and template assisted mandibular or maxillary reconstruction with free flaps containing the lateral scapular border--evolution of a biplanar plug-on cutting guide. J Craniomaxillofac Surg. 2016;44(3):229–41.

    Article  Google Scholar 

  19. Tarsitano A, Del Corso G, Ciocca L, Scotti R, Marchetti C. Mandibular reconstructions using computer-aided design/computer-aided manufacturing: a systematic review of a defect-based reconstructive algorithm. J Craniomaxillofac Surg. 2015;43(9):1785–91.

    Article  Google Scholar 

  20. Zweifel DF, Simon C, Hoarau R, Pasche P, Broome M. Are virtual planning and guided surgery for head and neck reconstruction economically viable? J Oral Maxillofac Surg. 2015;73(1):170–5.

    Article  Google Scholar 

  21. Thor A. Preoperative planning of virtual osteotomies followed by fabrication of patient specific reconstruction plate for secondary correction and fixation of displaced bilateral mandibular body fracture. Craniomaxillofac Trauma Reconstr. 2016;9(2):188–94.

    Article  Google Scholar 

  22. Tofigh M, Carrao V, Greenberg AM. Virtual Surgical Planning for Orthognathic Surgery. In: Greenberg AM (ed.). Digital Technologies in Craniomaxillofacial Surgery. Springer Verlog: New York, New York; 2018. pp. 154–5.

    Google Scholar 

  23. Panayotov IV, Orti V, Cuisinier F, Yachouh J. Polyetheretherketone (PEEK) for medical applications. J Mater Sci Mater Med. 2016;27(7):118.

    Article  Google Scholar 

  24. El Halabi F, Rodriguez JF, Rebolledo L, HurtĂ³s E, DoblarĂ© M. Mechanical characterization and numerical simulation of polyether-ether-ketone (PEEK) cranial implants. J Mech Behav Biomed Mater. 2011;4(8):1819–32.

    Article  Google Scholar 

  25. Parthasarathy J. 3D modeling, custom implants and its future perspectives in craniofacial surgery. Ann Maxillofac Surg. 2014;4(1):9–18.

    Article  Google Scholar 

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Greenberg, A.M. (2019). Virtual Surgical Planning and Patient Specific Surgical Templates and Precontoured Bone Plates. In: Greenberg, A., Schmelzeisen, R. (eds) Craniomaxillofacial Reconstructive and Corrective Bone Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1529-3_52

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  • DOI: https://doi.org/10.1007/978-1-4939-1529-3_52

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1528-6

  • Online ISBN: 978-1-4939-1529-3

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