Singerman Kyle W, Morisada Megan V, Kriet J David, Flynn John P, Humphrey Clinton D
Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA;
Craniomaxillofac Trauma Reconstr. 2025 Feb 21;18(1):18. doi: 10.3390/cmtr18010018. eCollection 2025 Mar.
A retrospective case series.
The management of acute complex maxillofacial trauma is challenging. The intricate maxillofacial anatomy coupled with the significant functional and aesthetic repercussions of traumatic facial injuries necessitate meticulous preoperative preparation and operative precision to minimize patient morbidity. The severe displacement of bone fragments, abnormal occlusion, comminution, and the involvement of multiple skeletal subsites further complicate the restoration of premorbid function and appearance. While previously recognized as a valuable tool for managing oncologic defects, orthognathic surgery, and for the correction of secondary deformities following maxillofacial trauma, virtual surgical planning (VSP) has now emerged as a viable tool for treating select patients following acute complex maxillofacial trauma.
A retrospective chart review of all the complex facial trauma patients treated using VSP services over a 21-month period.
Multiple VSP services were used in the primary repair of complex facial trauma, with occlusal splints, pre-contoured plates, and 3D printed models being utilized most frequently.
Our experience with VSP for primary maxillofacial trauma repair has helped us to identify specific indications for the use of VSP in this setting.
回顾性病例系列研究。
急性复杂颌面创伤的处理具有挑战性。复杂的颌面解剖结构，加上创伤性面部损伤对功能和美观有重大影响，这就需要细致的术前准备和手术精准度，以尽量减少患者的发病率。骨碎片严重移位、咬合异常、粉碎以及多个骨骼亚部位受累，进一步使病前功能和外观的恢复复杂化。虽然正颌手术以前被认为是处理肿瘤缺损、矫正颌面创伤后继发性畸形的一种有价值的工具，但虚拟手术规划（VSP）现在已成为治疗急性复杂颌面创伤后特定患者的一种可行工具。
对在21个月期间使用VSP服务治疗的所有复杂面部创伤患者进行回顾性病历审查。
多种VSP服务用于复杂面部创伤的一期修复，咬合夹板、预塑形钢板和3D打印模型使用最为频繁。
我们在VSP用于一期颌面创伤修复方面的经验，帮助我们确定了在这种情况下使用VSP的具体适应症。
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