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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.

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


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.

[Indexed for MEDLINE]

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