Parikh Neil, Aral Ali, Lewis Katelyn, Alperovich Michael
Division of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut.
Semin Plast Surg. 2024 May 13;38(3):214-223. doi: 10.1055/s-0044-1786803. eCollection 2024 Aug.
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.
颅缝早闭是一种以一条或多条颅骨缝过早融合为特征的病症,历史上一直通过手术矫正进行治疗。计算机化手术规划(CSP)和三维(3D)建模在颅面外科手术中已大受欢迎。通过外科医生和工程师的共同努力,现在可以基于术前使用计算机断层扫描的成像虚拟执行手术计划。CSP工作流程涉及多个要素,包括虚拟3D建模、CSP计算机辅助手术导板设计、导板和模板制造以及术中实施。通过对该工作流程的逐步优化,已能够在手术过程中取得显著进展,包括改善复杂颅缝早闭病例的术前规划以及减少术中时间。此外,CSP和3D建模对手术模拟和住院医师培训以及患者教育和咨询产生了积极影响。本文总结了CSP在颅缝早闭治疗中的工作流程以及这种治疗方式对医学实习生教育和患者管理的影响。