Virtual Surgical Planning and 3D-Printed Surgical Guides in Facial Allotransplantation

Krishna Vyas; Marissa Suchyta; Waleed Gibreel; Jorys Martinez-Jorge; Uldis Bite; Basel A. Sharaf; Elizabeth A. Bradley; Hatem Amer; Karim Bakri; Samir Mardini

doi:10.1055/s-0042-1756452

Seminars in Plastic Surgery, Table of Contents

Semin Plast Surg 2022; 36(03): 199-208
DOI: 10.1055/s-0042-1756452

Review Article

Virtual Surgical Planning and 3D-Printed Surgical Guides in Facial Allotransplantation

Krishna Vyas

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Marissa Suchyta

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Waleed Gibreel

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Jorys Martinez-Jorge

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Uldis Bite

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Basel A. Sharaf

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Elizabeth A. Bradley

²Division of Oculoplastic Surgery, Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota

,

Hatem Amer

³Division of Nephrology and Hypertension, Mayo Clinic, Rochester, Minnesota

⁴Essam and Dalal Obaid Center for Reconstructive Transplant Surgery, Mayo Clinic, Rochester, Minnesota

,

Karim Bakri

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

,

Samir Mardini

¹Division of Plastic Surgery, Department of Surgery, Mayo Clinic, Rochester, Minnesota

⁴Essam and Dalal Obaid Center for Reconstructive Transplant Surgery, Mayo Clinic, Rochester, Minnesota

› Author Affiliations

Abstract

The complex three-dimensional (3D) anatomy in facial allotransplantation creates a unique challenge for surgical reconstruction. Evolution of virtual surgical planning (VSP) through computer-aided design and computer-aided manufacturing has advanced reconstructive outcomes for many craniomaxillofacial indications. Surgeons use VSP, 3D models, and surgical guides to analyze and to trial surgical approaches even prior to entering the operating room. This workflow allows the surgeon to plan osteotomies and to anticipate challenges, which improves surgical precision and accuracy, optimizes outcomes, and should reduce operating room time. We present the development, evolution, and utilization of VSP and 3D-printed guides in facial allotransplantation at our institution, from guide conception to first clinical case.

Keywords

virtual surgical planning - facial reconstruction - face transplant - craniomaxillofacial surgery - craniofacial surgery - vascularized composite tissue allotransplantation - 3D printing - cutting guides

Full Text

References

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