Maxillofacial Plastic and Reconstructive Surgery

  • Volume 37
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  • Pages.43.1-43.5
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  • 2015
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Image-guided surgery and craniofacial applications: mastering the unseen

  • Wang, James C. (School of Medicine, Texas Tech University Health Sciences Center) ;
  • Nagy, Laszlo (Pediatric Neurosurgery, Department of Pediatrics, Texas Tech University Health Sciences Center) ;
  • Demke, Joshua C. (Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Texas Tech University Health Sciences Center)
  • Received : 2015.08.15
  • Accepted : 2015.10.08
  • Published : 2015.12.31
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Abstract

Image-guided surgery potentially enhances intraoperative safety and outcomes in a variety of craniomaxillofacial procedures. We explore the efficiency of one intraoperative navigation system in a single complex craniofacial case, review the initial and recurring costs, and estimate the added cost (e.g., additional setup time, registration). We discuss the potential challenges and benefits of utilizing image-guided surgery in our specific case and its benefits in terms of educational and teaching purposes and compare this with traditional osteotomies that rely on a surgeon's thorough understanding of anatomy coupled with tactile feedback to blindly guide the osteotome during surgery. A 13-year-old presented with untreated syndromic multi-suture synostosis, brachycephaly, severe exorbitism, and midface hypoplasia. For now, initial costs are high, recurring costs are relatively low, and there are perceived benefits of imaged-guided surgery as an excellent teaching tool for visualizing difficult and often unseen anatomy through computerized software and multi-planar real-time images.

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References

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