The Use of Virtual Surgical Planning in Total Facial Skeletal Reconstruction of Treacher Collins Syndrome: A Case Report

Craniomaxillofacial Trauma & Reconstruction

article

Yifan Guo¹  Joseph Lopez¹  Robin Yang¹  Alexandra Macmillan¹  Amir H. Dorafshar¹ 

[1] Department of Plastic and Reconstructive Surgery, Brody School of Medicine at East Carolina University

关键词: CAD/CAM;    virtual surgical planning;    Treacher Collins syndrome;    midface hypoplasia;    mandibular distraction;   

DOI  :  10.1055/s-0037-1604424

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Facial skeletal reconstruction of patients with severe Treacher Collins syndrome (TCS) requires correction of both midface and mandibular deficiencies. Implementing virtual surgical planning can provide an accurate three-dimensional analysis of craniofacial abnormalities, creating calvarial donors that match the anatomy of the desired malar augmentation and facilitating bimaxillary movements, positioning, and fixation in orthognathic surgery. We present a case of an 18-year-old patient with TCS, who underwent staged zygomaticomaxillary reconstruction and double-jaw osteotomy with sliding genioplasty, using computer-assisted surgical planning. Following these operations, the patient achieved not only improved facial harmony but also class I occlusion.

【 授权许可】

Unknown