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Plast Reconstr Surg. 2013 Jan;131(1):64-70. doi: 10.1097/PRS.0b013e3182729ef0.

Best face forward: Virtual modeling and custom device fabrication to optimize craniofacial vascularized composite allotransplantation.

Author information

1
Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, NY 10016, USA.

Abstract

Craniofacial vascularized composite allotransplantation is especially challenging when bony components are required. Matching the complex three-dimensional anatomy of the donor and recipient craniofacial skeletons to optimize bony contact and dental occlusion is a time-consuming step in the operating room. Currently, few tools exist to facilitate this process. The authors describe the development of a virtual planning protocol and patient-specific device design to efficiently match the donor and recipient skeletal elements in craniofacial vascularized composite allotransplantation. The protocol was validated in a cadaveric transplant. This innovative planning method allows a "snap-fit" reconstruction using custom surgical guides while maintaining facial height and width and functional occlusion. Postoperative overlay technology in the virtual environment provides an objective outcome analysis.

PMID:
23271519
DOI:
10.1097/PRS.0b013e3182729ef0
[Indexed for MEDLINE]

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