Weissler Jason M, Sosin Michael, Dorafshar Amir H, Garcia Juan R
Postdoctoral Research Fellow, Division of Plastic Surgery, University of Pennsylvania Health System, Philadelphia, PA.
General Surgery Resident, Department of Surgery, Medstar Georgetown University Hospital, Washington, DC; Postdoctoral Research Fellow, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD.
J Oral Maxillofac Surg. 2017 Jul;75(7):1491-1497. doi: 10.1016/j.joms.2016.12.037. Epub 2017 Jan 4.
Reconstructing auricular deformities for bilateral microtia is a demanding challenge especially after failed autologous reconstruction. This case report presents a novel application of virtual surgical planning, computer-assisted design, and intraoperative surgical navigation to preplan and execute placement of custom-tailored silicone auricular prostheses and titanium osseointegrated implants for a bone-anchored hearing aid system in a patient with Treacher Collins syndrome in whom autologous reconstruction had previously failed. Through a collaborative approach between the reconstructive surgeon and anaplastologist, the implementation of advanced digital technologies may offer a superior esthetic and functional outcome to patients with previously failed reconstruction.
双侧小耳畸形的耳郭畸形重建是一项极具挑战性的任务，尤其是在自体重建失败之后。本病例报告展示了虚拟手术规划、计算机辅助设计和术中手术导航的一种新应用，用于为一名患有特雷彻·柯林斯综合征且自体重建先前失败的患者预先规划并实施定制硅胶耳郭假体和用于骨锚式助听器系统的钛骨整合植入物的放置。通过重建外科医生和整形专家之间的协作方法，先进数字技术的应用可为先前重建失败的患者提供更优的美学和功能效果。
