Application of Computerized Surgical Planning in Craniosynostosis Surgery

Semin Plast Surg
DOI: 10.1055/s-0044-1786803

1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut

,

1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut

,

Katelyn Lewis

1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut

,

Michael Alperovich

1   Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut

› Author Affiliations Funding Dr. Alperovich receives funding from CTSA Grant Number KL2 TR001862 from the National Center for Advancing Translational Science (NCATS), a component of the National Institutes of Health (NIH) and consults for Johnson & Johnson and LifeNet Health. The manuscript contents are solely the responsibility of the authors and do not necessarily represent the official view of the NIH. The other authors have no financial interests to declare in relation to the content of this article.
  SFX Search  Buy Article Permissions and Reprints Abstract

Craniosynostosis, a medical condition characterized by premature fusion of one or multiple cranial sutures, has historically been treated through surgical correction. Computerized Surgical Planning (CSP) and three-dimensional (3D) modeling have gained significant popularity across craniofacial surgery. Through a collaborative effort between surgeons and engineers, it is now possible to virtually execute a surgical plan based on preoperative imaging using computed tomography scans. The CSP workflow involves several elements including virtual 3D modeling, CSP computer-aided surgical guide design, manufacturing of guides and templates, and intraoperative implementation. Through the gradual optimization of this workflow, it has been possible to achieve significant progress in the surgical process including improvements in the preoperative planning of complex craniosynostosis cases and reduction of intraoperative time. Furthermore, CSP and 3D modeling have had a positive impact on surgical simulation and residency training, along with patient education and counseling. This article summarizes the CSP workflow in the treatment of craniosynostosis and the implications of this treatment modality on medical trainee education and patient management.

Keywords normative pediatric skull model - resorbable plating - overcorrection

*Co-first authors.

Publication History

Article published online:
13 May 2024

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References 1 Johnson D, Wilkie AO. Craniosynostosis. Eur J Hum Genet 2011; 19 (04) 369-376 2 Blessing M, Gallagher ER. Epidemiology, genetics, and pathophysiology of craniosynostosis. Oral Maxillofac Surg Clin North Am 2022; 34 (03) 341-352 3 Tarnow P, Kölby L, Maltese G. et al. Incidence of non-syndromic and syndromic craniosynostosis in Sweden. J Craniofac Surg 2022; 33 (05) 1517-1520 4 Lee HQ, Hutson JM, Wray AC. et al. Changing epidemiology of nonsyndromic craniosynostosis and revisiting the risk factors. J Craniofac Surg 2012; 23 (05) 1245-1251 5 Shlobin NA, Baticulon RE, Ortega CA. et al. Global epidemiology of craniosynostosis: a systematic review and meta-analysis. World Neurosurg 2022; 164: 413-423.e3 6 Junaid M, Slack-Smith L, Wong K. et al. Epidemiology of rare craniofacial anomalies: retrospective Western Australian population data linkage study. J Pediatr 2022; 241: 162-172.e9 7 Kalmar CL. et al. Changes in intracranial pressure with craniosynostosis based on age at intervention, syndromic status, and multiple suture involvement. Plast Reconstr Surg Glob Open 2020; 8 (9, Suppl): 24 8 Czerwinski M, Kolar JC, Fearon JA. Complex craniosynostosis. Plast Reconstr Surg 2011; 128 (04) 955-961 9 Tibesar RJ, Scott AR. Syndromic craniofacial disorders. Facial Plast Surg Clin North Am 2024; 32 (01) 141-156 10 Wang JC, Nagy L, Demke JC. Syndromic craniosynostosis. Facial Plast Surg Clin North Am 2016; 24 (04) 531-543 11 Steinbacher DM. Three-dimensional analysis and surgical planning in craniomaxillofacial surgery. J Oral Maxillofac Surg 2015; 73 (12, Suppl): S40-S56 12 Recker MJ, Barber JC, Xia JJ. et al. Accuracy of surgical outcome using computer-aided surgical simulation in fronto-orbital advancement for craniosynostosis: a pilot study. Oper Neurosurg (Hagerstown) 2024; 26 (01) 46-53 13 Efanov JI, Roy AA, Huang KN, Borsuk DE. Virtual surgical planning: the pearls and pitfalls. Plast Reconstr Surg Glob Open 2018; 6 (01) e1443 14 Farrell BB, Franco PB, Tucker MR. Virtual surgical planning in orthognathic surgery. Oral Maxillofac Surg Clin North Am 2014; 26 (04) 459-473 15 Chim H, Wetjen N, Mardini S. Virtual surgical planning in craniofacial surgery. Semin Plast Surg 2014; 28 (03) 150-158 16 Mardini S, Alsubaie S, Cayci C, Chim H, Wetjen N. Three-dimensional preoperative virtual planning and template use for surgical correction of craniosynostosis. J Plast Reconstr Aesthet Surg 2014; 67 (03) 336-343 17 Gray R, Gougoutas A, Nguyen V, Taylor J, Bastidas N. Use of three-dimensional, CAD/CAM-assisted, virtual surgical simulation and planning in the pediatric craniofacial population. Int J Pediatr Otorhinolaryngol 2017; 97: 163-169 18 Zhao L, Patel PK, Cohen M. Application of virtual surgical planning with computer assisted design and manufacturing technology to cranio-maxillofacial surgery. Arch Plast Surg 2012; 39 (04) 309-316 19 Fisher M, Medina III M, Bojovic B, Ahn E, Dorafshar AH. Indications for computer-aided design and manufacturing in congenital craniofacial reconstruction. Craniomaxillofac Trauma Reconstr 2016; 9 (03) 235-241 20 Andrew TW, Baylan J, Mittermiller PA. et al. Virtual surgical planning decreases operative time for isolated single suture and multi-suture craniosynostosis repair. Plast Reconstr Surg Glob Open 2018; 6 (12) e2038 21 Mendez BM, Chiodo MV, Patel PA. Customized “in-office” three-dimensional printing for virtual surgical planning in craniofacial surgery. J Craniofac Surg 2015; 26 (05) 1584-1586 22 Ostaș D, Almășan O, Ileșan RR. et al. Point-of-care virtual surgical planning and 3d printing in oral and cranio-maxillofacial surgery: a narrative review. J Clin Med 2022; 11 (22) 6625 23 Long AS, Gudbranson E, Almeida MN. et al. Utilizing computer-assisted design and virtual surgical planning for correction of unilateral lambdoid synostosis. J Craniofac Surg 2023; 34 (03) 1036-1038 24 Almeida MN, Alper DP, Williams MCG. et al. Virtual surgical planning in craniosynostosis reduces operative time and length of stay for cranial vault remodeling. J Craniofac Surg 2023; 34 (07) 1931-1933 25 Ganesh P, Mahipathy SRRV, Rajan VTT. et al. Traditional versus virtual surgery planning of the fronto-orbital unit in anterior cranial vault remodeling surgery. J Craniofac Surg 2021; 32 (01) 285-289 26 Eastwood KW, Bodani VP, Haji FA, Looi T, Naguib HE, Drake JM. Development of synthetic simulators for endoscope-assisted repair of metopic and sagittal craniosynostosis. J Neurosurg Pediatr 2018; 22 (02) 128-136 27 Cheng D, Yuan M, Perera I. et al. Developing a 3D composite training model for cranial remodeling. J Neurosurg Pediatr 2019; 24 (06) 632-641 28 Lobb DC, Cottler P, Dart D, Black JS. The use of patient-specific three-dimensional printed surgical models enhances plastic surgery resident education in craniofacial surgery. J Craniofac Surg 2019; 30 (02) 339-341 29 Alshomer F, AlFaqeeh F, Alariefy M, Altweijri I, Alhumsi T. Low-cost desktop-based three-dimensional-printed patient-specific craniofacial models in surgical counseling, consent taking, and education of parent of craniosynostosis patients: a comparison with conventional visual explanation modalities. J Craniofac Surg 2019; 30 (06) 1652-1656 30 Chen J, Kumar S, Shallal C. et al. Caregiver preferences for three-dimensional printed or augmented reality craniosynostosis skull models: a cross-sectional survey. J Craniofac Surg 2022; 33 (01) 151-155
 

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