Perez Colleen F, Gordon Chad R
Divison of Neuroplastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia.
Division of Neuroplastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Semin Plast Surg. 2024 May 23;38(3):189-197. doi: 10.1055/s-0044-1786759. eCollection 2024 Aug.
This article explores the evolution and implementation of three-dimensional (3D) models and Computerized Surgical Planning (CSP) for complex cranioplasty reconstruction and the advances in neuroplastic surgery principles for improved surgical outcomes. Over recent years, CSP has revolutionized the field by employing detailed medical imaging to enhance the accuracy and efficacy of 3D models and for the creation of customized cranial implants (CCIs). The study discusses the advancements of solid alloplastic implants to the future of implants with sophisticated and integrated neurotechnology to treat or enhance patient outcomes. CSP can be used to identify and mitigate complications that can occur within cranioplasty reconstruction and to create CCIs to address the postoperative challenge of temporal hollowing. Despite the promising advancements, the article acknowledges the current limitations of CSP, including cost and technological accessibility, and proposes future directions for research and development. The findings suggest that with further improvements in imaging, biomaterials, and manufacturing techniques, CSP in neuroplastic surgery and other specialties will continue to significantly enhance the precision and personalized care of cranioplasty reconstruction.
本文探讨了用于复杂颅骨成形术重建的三维(3D)模型和计算机辅助手术规划(CSP)的发展与应用,以及神经整形手术原则的进展,以改善手术效果。近年来,CSP通过运用详细的医学成像技术,提高了3D模型的准确性和有效性,并用于创建定制颅骨植入物(CCI),从而彻底改变了该领域。该研究讨论了实体异体植入物从过去到未来与先进且集成的神经技术相结合的发展,以治疗或改善患者预后。CSP可用于识别和减轻颅骨成形术重建过程中可能出现的并发症,并创建CCI以应对术后颞部凹陷的挑战。尽管取得了令人鼓舞的进展,但本文承认CSP目前存在的局限性,包括成本和技术可及性,并提出了未来的研发方向。研究结果表明,随着成像、生物材料和制造技术的进一步改进,神经整形手术及其他专业领域的CSP将继续显著提高颅骨成形术重建的精度和个性化治疗水平。