Virtual Surgical Planning for Correction of Delayed Presentation Scaphocephaly Using a Modified Melbourne Technique

The Journal of Craniofacial Surgery
Alexandra MacmillanAmir H Dorafshar

Abstract

Late treatment of scaphocephaly presents challenges including need for more complex surgery to achieve desired head shape. Virtual surgical planning for total vault reconstruction may mitigate some of these challenges, but has not been studied in this unique and complex clinical setting. A retrospective chart review was conducted for patients with scaphocephaly who presented to our institution between 2000 and 2014. Patients presenting aged 12 months or older who underwent virtual surgical planning-assisted cranial vault reconstruction were included. Patient demographic, intraoperative data, and postoperative outcomes were recorded. Pre- and postoperative anthropometric measurements were obtained to document the fronto-occipital (FO) and biparietal (BP) distance and calculate cephalic index (CI). Virtual surgical planning predicted, and actual postoperative anthropometric measurements were compared. Five patients were identified who fulfilled inclusion criteria. The mean age was 50.6 months. One patient demonstrated signs of elevated intracranial pressure preoperatively. Postoperatively, all but one needed no revisional surgery (Whitaker score of 1). No patient demonstrated postoperative evidence of bony defects, bossing, or su...Continue Reading

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Citations

Sep 6, 2020·The Journal of Craniofacial Surgery·Jing WangGang Wang
Sep 25, 2020·The Journal of Craniofacial Surgery·Praveen GaneshMuralidhara Nagarjuna
Jan 16, 2021·Annals of Plastic Surgery·Anthony A BertrandJustine C Lee
Mar 30, 2021·Plastic and Reconstructive Surgery·Seija ManiskasDerek M Steinbacher
Jun 29, 2021·Plastic and Reconstructive Surgery·Kristopher M DayJamie P Levine
Jul 16, 2021·Computer Methods in Biomechanics and Biomedical Engineering·Jianjun LiZuo Wang

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