Computer-aided design and manufacturing in craniosynostosis surgery

Mitchel Seruya, Daniel E. Borsuk, Saami Khalifian, Benjamin Solomon, Nicholas Dalesio, Amir Dorafshar

Research output: Contribution to journalArticle

Abstract

Background: Considerable operative time is expended during the planning, shaping, and reconfiguring of the cranial vault in the pursuit of symmetry during open craniosynostosis surgery. Computer-aided design and manufacturing has recently been implemented in orthognathic surgery and complex craniomaxillofacial reconstruction as a means of optimizing operative accuracy and efficiency. In this report, we highlight our growing experience with this promising modality for the preoperative planning and intraoperative execution of cranial vault remodeling in patients with both simple and complex forms of craniosynostosis. Methods: Computer-assisted surgical planning begins with acquisition of high-resolution computed tomography scans of the craniofacial skeleton. An Internet-based teleconference is then held between the craniofacial and biomedical engineering teams and provides a forum for virtual manipulation of the patient's preoperative three-dimensional computed tomography with real-time changes and feedback. Through virtual surgical planning, osteotomies are designed and calvarial bones reconfigured to achieve the desired cranial vault appearance. Cutting and positioning guides are manufactured to transform the virtual plan into a reality. Results: From February to March 2012, 4 children (aged 9 months to 6 years) with craniosynostosis underwent computer-assisted simulation and surgery. Diagnoses included metopic, unicoronal (n = 2), and multisutural synostoses (sagittal and left unicoronal). Open craniofacial repairs were performed as virtually planned, including front o-orbital remodeling, fronto-orbital advancement, and anterior two-thirds calvarial remodeling, respectively. Cutting and final positioning guides demonstrated excellent fidelity and ease of use. Conclusions: Computer-aided design and manufacturing may offer a platform for optimizing operative efficiency, precision, and accuracy in craniosynostosis surgery, while accelerating the learning curve for future trainees.

Original languageEnglish (US)
Pages (from-to)1100-1105
Number of pages6
JournalThe Journal of craniofacial surgery
Volume24
Issue number4
DOIs
StatePublished - Jul 2013

Fingerprint

Computer-Aided Design
Craniosynostoses
Tomography
Biomedical Engineering
Computer-Assisted Surgery
Efficiency
Orthognathic Surgery
Telecommunications
Learning Curve
Operative Time
Osteotomy
Skeleton
Internet
Computer Simulation
Bone and Bones

Keywords

  • CAD/CAM
  • Computer-aided design
  • computer-aided manufacturing
  • craniosynostosis
  • virtual surgical planning

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Medicine(all)

Cite this

Computer-aided design and manufacturing in craniosynostosis surgery. / Seruya, Mitchel; Borsuk, Daniel E.; Khalifian, Saami; Solomon, Benjamin; Dalesio, Nicholas; Dorafshar, Amir.

In: The Journal of craniofacial surgery, Vol. 24, No. 4, 07.2013, p. 1100-1105.

Research output: Contribution to journalArticle

Seruya, Mitchel ; Borsuk, Daniel E. ; Khalifian, Saami ; Solomon, Benjamin ; Dalesio, Nicholas ; Dorafshar, Amir. / Computer-aided design and manufacturing in craniosynostosis surgery. In: The Journal of craniofacial surgery. 2013 ; Vol. 24, No. 4. pp. 1100-1105.
@article{f7c3f6e7fe43455f805eefaf9cad7910,
title = "Computer-aided design and manufacturing in craniosynostosis surgery",
abstract = "Background: Considerable operative time is expended during the planning, shaping, and reconfiguring of the cranial vault in the pursuit of symmetry during open craniosynostosis surgery. Computer-aided design and manufacturing has recently been implemented in orthognathic surgery and complex craniomaxillofacial reconstruction as a means of optimizing operative accuracy and efficiency. In this report, we highlight our growing experience with this promising modality for the preoperative planning and intraoperative execution of cranial vault remodeling in patients with both simple and complex forms of craniosynostosis. Methods: Computer-assisted surgical planning begins with acquisition of high-resolution computed tomography scans of the craniofacial skeleton. An Internet-based teleconference is then held between the craniofacial and biomedical engineering teams and provides a forum for virtual manipulation of the patient's preoperative three-dimensional computed tomography with real-time changes and feedback. Through virtual surgical planning, osteotomies are designed and calvarial bones reconfigured to achieve the desired cranial vault appearance. Cutting and positioning guides are manufactured to transform the virtual plan into a reality. Results: From February to March 2012, 4 children (aged 9 months to 6 years) with craniosynostosis underwent computer-assisted simulation and surgery. Diagnoses included metopic, unicoronal (n = 2), and multisutural synostoses (sagittal and left unicoronal). Open craniofacial repairs were performed as virtually planned, including front o-orbital remodeling, fronto-orbital advancement, and anterior two-thirds calvarial remodeling, respectively. Cutting and final positioning guides demonstrated excellent fidelity and ease of use. Conclusions: Computer-aided design and manufacturing may offer a platform for optimizing operative efficiency, precision, and accuracy in craniosynostosis surgery, while accelerating the learning curve for future trainees.",
keywords = "CAD/CAM, Computer-aided design, computer-aided manufacturing, craniosynostosis, virtual surgical planning",
author = "Mitchel Seruya and Borsuk, {Daniel E.} and Saami Khalifian and Benjamin Solomon and Nicholas Dalesio and Amir Dorafshar",
year = "2013",
month = "7",
doi = "10.1097/SCS.0b013e31828b7021",
language = "English (US)",
volume = "24",
pages = "1100--1105",
journal = "Journal of Craniofacial Surgery",
issn = "1049-2275",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Computer-aided design and manufacturing in craniosynostosis surgery

AU - Seruya, Mitchel

AU - Borsuk, Daniel E.

AU - Khalifian, Saami

AU - Solomon, Benjamin

AU - Dalesio, Nicholas

AU - Dorafshar, Amir

PY - 2013/7

Y1 - 2013/7

N2 - Background: Considerable operative time is expended during the planning, shaping, and reconfiguring of the cranial vault in the pursuit of symmetry during open craniosynostosis surgery. Computer-aided design and manufacturing has recently been implemented in orthognathic surgery and complex craniomaxillofacial reconstruction as a means of optimizing operative accuracy and efficiency. In this report, we highlight our growing experience with this promising modality for the preoperative planning and intraoperative execution of cranial vault remodeling in patients with both simple and complex forms of craniosynostosis. Methods: Computer-assisted surgical planning begins with acquisition of high-resolution computed tomography scans of the craniofacial skeleton. An Internet-based teleconference is then held between the craniofacial and biomedical engineering teams and provides a forum for virtual manipulation of the patient's preoperative three-dimensional computed tomography with real-time changes and feedback. Through virtual surgical planning, osteotomies are designed and calvarial bones reconfigured to achieve the desired cranial vault appearance. Cutting and positioning guides are manufactured to transform the virtual plan into a reality. Results: From February to March 2012, 4 children (aged 9 months to 6 years) with craniosynostosis underwent computer-assisted simulation and surgery. Diagnoses included metopic, unicoronal (n = 2), and multisutural synostoses (sagittal and left unicoronal). Open craniofacial repairs were performed as virtually planned, including front o-orbital remodeling, fronto-orbital advancement, and anterior two-thirds calvarial remodeling, respectively. Cutting and final positioning guides demonstrated excellent fidelity and ease of use. Conclusions: Computer-aided design and manufacturing may offer a platform for optimizing operative efficiency, precision, and accuracy in craniosynostosis surgery, while accelerating the learning curve for future trainees.

AB - Background: Considerable operative time is expended during the planning, shaping, and reconfiguring of the cranial vault in the pursuit of symmetry during open craniosynostosis surgery. Computer-aided design and manufacturing has recently been implemented in orthognathic surgery and complex craniomaxillofacial reconstruction as a means of optimizing operative accuracy and efficiency. In this report, we highlight our growing experience with this promising modality for the preoperative planning and intraoperative execution of cranial vault remodeling in patients with both simple and complex forms of craniosynostosis. Methods: Computer-assisted surgical planning begins with acquisition of high-resolution computed tomography scans of the craniofacial skeleton. An Internet-based teleconference is then held between the craniofacial and biomedical engineering teams and provides a forum for virtual manipulation of the patient's preoperative three-dimensional computed tomography with real-time changes and feedback. Through virtual surgical planning, osteotomies are designed and calvarial bones reconfigured to achieve the desired cranial vault appearance. Cutting and positioning guides are manufactured to transform the virtual plan into a reality. Results: From February to March 2012, 4 children (aged 9 months to 6 years) with craniosynostosis underwent computer-assisted simulation and surgery. Diagnoses included metopic, unicoronal (n = 2), and multisutural synostoses (sagittal and left unicoronal). Open craniofacial repairs were performed as virtually planned, including front o-orbital remodeling, fronto-orbital advancement, and anterior two-thirds calvarial remodeling, respectively. Cutting and final positioning guides demonstrated excellent fidelity and ease of use. Conclusions: Computer-aided design and manufacturing may offer a platform for optimizing operative efficiency, precision, and accuracy in craniosynostosis surgery, while accelerating the learning curve for future trainees.

KW - CAD/CAM

KW - Computer-aided design

KW - computer-aided manufacturing

KW - craniosynostosis

KW - virtual surgical planning

UR - http://www.scopus.com/inward/record.url?scp=84880856077&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84880856077&partnerID=8YFLogxK

U2 - 10.1097/SCS.0b013e31828b7021

DO - 10.1097/SCS.0b013e31828b7021

M3 - Article

C2 - 23851748

AN - SCOPUS:84880856077

VL - 24

SP - 1100

EP - 1105

JO - Journal of Craniofacial Surgery

JF - Journal of Craniofacial Surgery

SN - 1049-2275

IS - 4

ER -