Augmented Reality-Assisted Periosteum Pedicled Flap Harvesting for Head and Neck Reconstruction: An Anatomical and Clinical Viability Study of a Galeo-Pericranial Flap

Journal of Clinical Medicine

Emanuela Marcelli¹  Laura Cercenelli¹  Alessandra Ruggeri²  Lucia Manzoli²  Stefano Ratti²  Salvatore Battaglia³  Achille Tarsitano³  Claudio Marchetti³ 

[1] Bioengineering Lab, Department of Experimental, Diagnostic and Specialty Medicine—DIMES, University of Bologna, 40100 Bologna, Italy;Human Anatomy, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40100 Bologna, Italy;Oral and Maxillo-Facial Surgery Unit, IRCCS Policlinico di Sant’Orsola, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40100 Bologna, Italy;

关键词: reconstruction;    head and neck reconstruction;    3D technologies;    augmented reality;    temporalis flap;    periosteum flap;   

DOI  :  10.3390/jcm9072211

来源: DOAJ

【 摘 要 】

Head and neck reconstructive surgeons have recently explored new perspectives in bone restoration using periosteum carrier flaps. Following this idea, we explored the possibility of harvesting a galeo-pericranial flap. The present work studies the vascular supply of the pericranial temporo-parietal region in order to assess the possibility of harvesting a galeo-pericranial flap based on the superficial temporalis vascularization. Anatomical dissections were performed at the Anatomical Institute of the University of Bologna on eight donor cadavers. Then we performed the harvesting of the flap in vivo on eight patients. We introduced augmented reality (AR) to facilitate anatomical visualisation during free flap harvesting. Augmented reality merges virtual and actual objects, allowing direct observation of patient anatomy and the surgical field. No post-operative major or minor complications occurred. We encountered no post-operative functional issues on the donor or recipient sites, and good clinical healing was observed in all patients. In conclusion, we believe that the galea-pericranium flap could represent a new donor site for the harvesting of a periosteum carrier flap.

【 授权许可】

Unknown