Utilization of a Simple Surgical Guide for Multidirectional Cranial Distraction Osteogenesis in Craniosynostosis

被引:5
作者
Matsui, Chihiro [1 ]
Tokuyama, Eijiro [1 ]
Senoo, Takaya [1 ]
Yamada, Kiyoshi [1 ]
Kameda, Masahiro [2 ]
Takeuchi, Tetsuo [3 ]
Kimata, Yoshihiro [1 ]
机构
[1] Okayama Univ Hosp, Dept Plast & Reconstruct Surg, Okayama, Japan
[2] Okayama Univ Hosp, Dept Neurol Surg, Okayama, Japan
[3] Okayama Univ Hosp, Dept Occlusal & Oral Funct Rehabil, Okayama, Japan
关键词
COMPUTER-AIDED-DESIGN; GRADUAL DISTRACTION; VAULT EXPANSION; RECONSTRUCTION; ADVANCEMENT;
D O I
10.1097/GOX.0000000000002797
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Multidirectional cranial distraction osteogenesis (MCDO) can achieve a desired shape for deformities of the cranium. In the past, visual estimation was used to reflect on the actual skull, but it was time-consuming and inaccurate. Here we demonstrate an effective osteotomy navigation method using surgical guides made from a dental impression silicone. Methods: Seven patients who underwent MCDO between August 2013 and September 2016 were included in the study. Five cases involved utilization of the surgical guide for osteotomy. Three-dimensional (3D) printed cranium models were made using 3D computed tomography (3DCT) imaging data and dental impression silicone sheets were molded using the printed cranium models. These surgical guides were sterilized and used for intraoperative osteotomy design. Vertical distance between nasion/porion and osteotomy lines were calculated using 3D printed cranial models and postoperative 3DCT images to assess reproducibility. Results: The average surgical time/design time was 535/37.0 minutes for the nonsurgical guide group and 486.8/11.8 minutes for the surgical guide group (SG). Treatment using the surgical guide was significantly shorter in terms of operative time and time required for design. For the vertical distance comparison, the average distance was 5.7mm (SD = 0.3) in the non-SG and 2.5mm (SD = 0.44) in the SG, and SG was more accurate. Conclusions: Shorter operative times and higher reproducibility rates could be achieved by using the proposed surgical guide, which is accurate, low-cost, and easily accessible.
引用
收藏
页数:6
相关论文
共 23 条
  • [1] Treatment of craniosynostosis by distraction osteogenesis
    Akai, Takuya
    Iizuka, Hideaki
    Kawakami, Shigehiko
    [J]. PEDIATRIC NEUROSURGERY, 2006, 42 (05) : 288 - 292
  • [2] Distraction osteogenesis of the cranial vault for the treatment of craniofacial synostosis
    Cho, BC
    Hwang, SK
    Uhm, KI
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2004, 15 (01) : 135 - 144
  • [3] Office-Based Three-Dimensional Printing Workflow for Craniomaxillofacial Fracture Repair
    Elegbede, Adekunle
    Diaconu, Silviu C.
    McNichols, Colton H. L.
    Seu, Michelle
    Rasko, Yvonne M.
    Grant, Michael P.
    Nam, Arthur J.
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2018, 29 (05) : E440 - E444
  • [4] Distraction Osteogenesis Update : Introduction of Multidirectional Cranial Distraction Osteogenesis
    Gomi, Akira
    Sunaga, Ataru
    Kamochi, Hideaki
    Oguma, Hirofumi
    Sugawara, Yasushi
    [J]. JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, 2016, 59 (03) : 233 - 241
  • [5] Novel Treatment Planning of Hemimandibular Hyperplasia by the Use of Three-Dimensional Computer-Aided-Design and Computer-Aided-Manufacturing Technologies
    Hatamleh, Muhanad M.
    Yeung, Elizabeth
    Osher, Jonas
    Huppa, Chrisopher
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2017, 28 (03) : 764 - 767
  • [6] Frontoorbital advancement by gradual distraction - Technical note
    Hirabayashi, S
    Sugawara, Y
    Sakurai, A
    Harii, K
    Park, S
    [J]. JOURNAL OF NEUROSURGERY, 1998, 89 (06) : 1058 - 1061
  • [7] Cranial remodeling to treat craniosynostosis by gradual distraction using a new device
    Imai, K
    Komune, H
    Toda, C
    Nomachii, T
    Enoki, E
    Sakamoto, H
    Kitano, S
    Hatoko, M
    Fujimoto, T
    [J]. JOURNAL OF NEUROSURGERY, 2002, 96 (04) : 654 - 659
  • [8] The Results and Complications of Cranial Bone Reconstruction in Patients With Craniosynostosis
    Jeong, Jae Hoon
    Song, Jung Yoon
    Kwon, Geun Yong
    Baek, Seung-Hak
    Kim, Jae Chan
    Choi, Tae Hyun
    Kim, Sukwha
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2013, 24 (04) : 1162 - 1167
  • [9] Distraction vs remodeling surgery for craniosynostosis
    Kim, Seong-Woong
    Shim, Kyu-Won
    Plesnila, Nick
    Kim, Yong-Oock
    Choi, Joong-Uhn
    Kim, Dong-Seok
    [J]. CHILDS NERVOUS SYSTEM, 2007, 23 (02) : 201 - 206
  • [10] A novel method of computer aided orthognathic surgery using individual CAD/CAM templates: a combination of osteotomy and repositioning guides
    Li, Biao
    Zhang, Lei
    Sun, Hao
    Yuan, Jianbing
    Shen, Steve G. F.
    Wang, Xudong
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2013, 51 (08) : E239 - E244