Virtual surgical planning for maxillary reconstruction with the scapular free flap: An evaluation of a simple cutting guide design.

Autor: Tran, Khanh Linh, Kwon, Jae Young, Gui, Xi Yao, Wang, Edward, Yang, David, Durham, James Scott, Prisman, Eitan
Předmět:
Zdroj: Head & Neck; Jan2023, Vol. 45 Issue 1, p115-125, 11p
Abstrakt: Background: The study's objective is to assess the feasibility and utility of VSP for maxillary reconstruction with the scapular free flap. Methods: An open‐source VSP platform was used to create the reconstruction models and simple guides. Clinical, operative, and postoperative data were collected. Results: Ten patients in the VSP cohort and 18 in the non‐VSP control cohort were included in the study. There was a significant reduction in operative time (256.0 ± 69.4 vs. 448.1 ± 108.2 min, p < 0.01), tracheotomy rate (20% vs. 72%, p < 0.01), increased two‐team utilization rate (80% vs. 0%, p < 0.01) and better reconstructive accuracy (7.5 ± 3.4 vs. 11.7 ± 7.6 mm, p = 0.048) for the VSP cohort. Conclusions: Maxillary reconstruction planned with an in‐house open‐source VSP platform and accompanied simple guides can facilitate a two‐team approach, reduce operative time, and improve structural accuracy. This open‐source technology has great potential to be readily applied in other institutions to improve efficiency and outcomes. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index