Cranial Maxillofac Trauma Reconstruction
DOI: 10.1055/s-0037-1604424
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Yifan Guo
Department of Plastic and Reconstructive Surgery, Brody School of Medicine at East Carolina University, Greenville, South Carolina
,
Joseph Lopez
Department of Plastic and Reconstructive Surgery, JHMI, Baltimore, Maryland
,
Robin Yang
Department of Plastic and Reconstructive Surgery, JHMI, Baltimore, Maryland
,
Alexandra Macmillan
Department of Plastic and Reconstructive Surgery, JHMI, Baltimore, Maryland
,
Amir H. Dorafshar
Department of Plastic and Reconstructive Surgery, JHMI, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

31 January 2017

02 April 2017

Publication Date:
21 July 2017 (eFirst)

Abstract

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.