Kuruoglu Doga, Yan Maria, Bustos Samyd S, Morris Jonathan M, Alexander Amy E, Sharaf Basel
Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Division of Neuroradiology, Anatomic Modeling Lab, Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Ann Transl Med. 2021 Apr;9(7):614. doi: 10.21037/atm-20-6369.
Facial gender confirmation surgery (FGCS) is a powerful set of procedures in the armamentarium of plastic surgeons that can transform the male face into a gender-congruent female face and provide the transgender individual with improved quality of life, positive body image and help in social integration. The goals of the FGCS procedures are to address the individual patients' concerns and expectations about their facial appearance, offer safely executed surgery, minimize complications, and optimize surgical outcomes. Pre-operative computed tomography (CT) scanning and three-dimensional (3D) reconstruction before facial feminization or masculinization delineates important skeletal and sinus anatomy and can also be a useful tool in patient consultation. Virtual surgical planning (VSP) is a valuable tool in facial surgery. From free flap bony reconstruction after tumor resection and orthognathic surgery to craniosynostosis planning, VSP has become widely utilized in modern day cranio-maxillofacial surgery. The use of patient-specific cutting guides and implants helps in improving symmetry and safety of these procedures. Furthermore, 3D printed models are valuable tools in patient education and counseling prior to surgery. In this article we describe our approach to FGCS through the integration of point of care (POC) VSP and 3D printing (3DP) to help deliver safer and accurate FGCS outcomes.
面部性别确认手术（FGCS）是整形外科医生的一系列重要手术，可将男性面部转变为与性别相符的女性面部，并为跨性别者改善生活质量、塑造积极的身体形象并有助于社会融入。FGCS手术的目标是解决个体患者对面部外观的担忧和期望，提供安全实施的手术，将并发症降至最低，并优化手术效果。在面部女性化或男性化手术前进行术前计算机断层扫描（CT）和三维（3D）重建，可描绘重要的骨骼和鼻窦解剖结构，也是患者咨询中的有用工具。虚拟手术规划（VSP）是面部手术中的一项重要工具。从肿瘤切除和正颌手术后的游离皮瓣骨重建到颅缝早闭规划，VSP已在现代颅颌面外科中得到广泛应用。使用针对患者的切割导板和植入物有助于提高这些手术的对称性和安全性。此外，3D打印模型是术前患者教育和咨询的重要工具。在本文中，我们描述了通过整合床旁（POC）VSP和3D打印（3DP）来实施FGCS的方法，以帮助实现更安全、准确的FGCS效果。
