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Virtual surgical planning for maxillary reconstruction with the scapular free flap: An evaluation of a simple cutting guide design.
- Source :
-
Head & neck [Head Neck] 2023 Jan; Vol. 45 (1), pp. 115-125. Date of Electronic Publication: 2022 Oct 18. - Publication Year :
- 2023
-
Abstract
- Background: The study's objective is to assess the feasibility and utility of VSP for maxillary reconstruction with the scapular free flap.<br />Methods: An open-source VSP platform was used to create the reconstruction models and simple guides. Clinical, operative, and postoperative data were collected.<br />Results: Ten patients in the VSP cohort and 18 in the non-VSP control cohort were included in the study. There was a significant reduction in operative time (256.0 ± 69.4 vs. 448.1 ± 108.2 min, p < 0.01), tracheotomy rate (20% vs. 72%, p < 0.01), increased two-team utilization rate (80% vs. 0%, p < 0.01) and better reconstructive accuracy (7.5 ± 3.4 vs. 11.7 ± 7.6 mm, p = 0.048) for the VSP cohort.<br />Conclusions: Maxillary reconstruction planned with an in-house open-source VSP platform and accompanied simple guides can facilitate a two-team approach, reduce operative time, and improve structural accuracy. This open-source technology has great potential to be readily applied in other institutions to improve efficiency and outcomes.<br /> (© 2022 Wiley Periodicals LLC.)
Details
- Language :
- English
- ISSN :
- 1097-0347
- Volume :
- 45
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Head & neck
- Publication Type :
- Academic Journal
- Accession number :
- 36255135
- Full Text :
- https://doi.org/10.1002/hed.27214