The Department of Plastic Surgery, Rhode Island Hospital and The Warren Alpert Medical School of Brown University, Providence, RI.
J Craniofac Surg. 2021;32(1):e51-e52. doi: 10.1097/SCS.0000000000006912.
The 3-stage paramedian forehead flap is the gold standard for subtotal and complete nasal defects, but significant surgeon artistry and experience are required to achieve good, consistent results. The authors describe the use of virtual surgical planning and three-dimensional printing to create a patient-specific soft tissue cutting guide for the design of a forehead flap in the reconstruction of a hemirhinectomy defect. Application of this technology to these challenging reconstructive scenarios promises to improve accessibility and consistency of results.
三阶段额部正中皮瓣是部分鼻缺损和全鼻缺损的金标准,但要获得良好、一致的效果,需要相当的手术技巧和经验。作者描述了使用虚拟手术规划和三维打印技术,为半侧鼻翼切除术缺损的重建设计额部皮瓣,制作患者特异性软组织切割导板。该技术在这些具有挑战性的重建场景中的应用有望提高结果的可及性和一致性。