Use of virtual 3-dimensional surgery in post-traumatic craniomaxillofacial reconstruction.
J Oral Maxillofac Surg
; 69(3): 733-41, 2011 Mar.
Article
em En
| MEDLINE
| ID: mdl-21236538
ABSTRACT
Traumatic craniofacial injuries often present as difficult reconstructive challenges for maxillofacial surgeons. Reconstruction is often complicated by significant soft tissue loss, comminuted bony fragments, a tenuous blood supply, and wound contamination. For panfacial injuries, restoration of normal facial width, facial height, and sagittal projection may be difficult to achieve. Marked swelling may limit the surgeons' ability to palpate and recognize subtle bony defects and malunion. Furthermore, a true 3-dimensional assessment of bony alignment may not be possible with traditional surgical exposures to the craniofacial skeleton. This article builds on previous work that introduced the use of 3-dimensionally guided surgery for microvascular free-flap reconstruction of the craniofacial skeleton. Use of this technology improves the planning, timing, and overall precision of microvascular reconstructive surgery. Based on this experience, a similar approach to reconstructing patients with significant craniofacial trauma has been adopted.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ferimentos por Arma de Fogo
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Craniotomia
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Imageamento Tridimensional
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Cirurgia Assistida por Computador
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Procedimentos Cirúrgicos Ortognáticos
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Retalhos de Tecido Biológico
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Fraturas Mandibulares
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Traumatismos Maxilofaciais
Tipo de estudo:
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article