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Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair

Publication ,  Journal Article
Andrew, TW; Baylan, J; Mittermiller, PA; Cheng, H; Johns, DN; Edwards, MSB; Cheshier, SH; Grant, GA; Peter Lorenz, H
Published in: Plastic and Reconstructive Surgery - Global Open
January 1, 2018

Background: Cranial vault reconstruction is a complex procedure due to the need for precise 3-dimensional outcomes. Traditionally, the process involves manual bending of calvarial bone and plates. With the advent of virtual surgical planning (VSP), this procedure can be streamlined. Despite the advantages documented in the literature, there have been no case-control studies comparing VSP to traditional open cranial vault reconstruction. Methods: Data were retrospectively collected on patients who underwent craniosynostosis repair during a 7-year period. Information was collected on patient demographics, intraoperative and postoperative factors, and intraoperative surgical time. High-resolution computed tomography scans were used for preoperative planning with engineers when designing osteotomies, bone flaps, and final positioning guides. Results: A total of 66 patients underwent open craniosynostosis reconstruction between 2010 and 2017. There were 35 control (non-VSP) and 28 VSP cases. No difference in age, gender ratios, or number of prior operations was found. Blood loss was similar between the 2 groups. The VSP group had more screws and an increased length of postoperative hospital stay. The length of the operation was shorter in the VSP group for single suture and for multiple suture operations. Operative time decreased as the attending surgeon increased familiarity with the technique. Conclusions: VSP is a valuable tool for craniosynostosis repair. We found VSP decreases surgical time and allows for improved preoperative planning. Although there have been studies on VSP, this is the first large case-control study to be performed on its use in cranial vault remodeling.

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Published In

Plastic and Reconstructive Surgery - Global Open

DOI

EISSN

2169-7574

Publication Date

January 1, 2018

Volume

6

Issue

12

Related Subject Headings

  • 3213 Paediatrics
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences
 

Citation

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ICMJE
MLA
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Andrew, T. W., Baylan, J., Mittermiller, P. A., Cheng, H., Johns, D. N., Edwards, M. S. B., … Peter Lorenz, H. (2018). Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair. Plastic and Reconstructive Surgery - Global Open, 6(12). https://doi.org/10.1097/GOX.0000000000002038
Andrew, T. W., J. Baylan, P. A. Mittermiller, H. Cheng, D. N. Johns, M. S. B. Edwards, S. H. Cheshier, G. A. Grant, and H. Peter Lorenz. “Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair.” Plastic and Reconstructive Surgery - Global Open 6, no. 12 (January 1, 2018). https://doi.org/10.1097/GOX.0000000000002038.
Andrew TW, Baylan J, Mittermiller PA, Cheng H, Johns DN, Edwards MSB, et al. Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair. Plastic and Reconstructive Surgery - Global Open. 2018 Jan 1;6(12).
Andrew, T. W., et al. “Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair.” Plastic and Reconstructive Surgery - Global Open, vol. 6, no. 12, Jan. 2018. Scopus, doi:10.1097/GOX.0000000000002038.
Andrew TW, Baylan J, Mittermiller PA, Cheng H, Johns DN, Edwards MSB, Cheshier SH, Grant GA, Peter Lorenz H. Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair. Plastic and Reconstructive Surgery - Global Open. 2018 Jan 1;6(12).

Published In

Plastic and Reconstructive Surgery - Global Open

DOI

EISSN

2169-7574

Publication Date

January 1, 2018

Volume

6

Issue

12

Related Subject Headings

  • 3213 Paediatrics
  • 3211 Oncology and carcinogenesis
  • 3202 Clinical sciences