In-House Virtual Planning and 3D-Printed Surgical Guides for Reconstructive Rhinoplasty.

IF 3 2区 医学 Q1 SURGERY Aesthetic Surgery Journal Pub Date : 2025-01-16 DOI:10.1093/asj/sjae179
Josep Rubio-Palau, Joana Gonçalves, Albert Malet-Contreras, Núria Adell-Gómez, Trini Arenas-Costa, Wenceslao Calonge, Arnau Valls-Esteve, Adaia Valls-Ontañón
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Abstract

Background: Performing rhinoplasty in patients with craniofacial malformations remains a challenge, even for experienced surgeons. Advances in 3-dimensional technology and their application in surgical planning and printing of cutting guides and splints have become important tools for improving aesthetic and functional results.

Objectives: The aim of this preliminary report was to describe an in-house workflow for surgical planning and printing of cutting guides and splints for complex rhinoplasty cases.

Methods: An in-house workflow for complex rhinoplasty was described, as applied in the maxillofacial department of a children's hospital specializing in the treatment of cleft and craniofacial malformations.

Results: Customized surgical guides helped the surgeon harvest and mold potential septal and costochondral grafts more accurately, reduced surgical time, and verified the dimensions of the sculpted nasal shape following surgical planning templates. Patient satisfaction according to the Rhinoplasty Outcome Evaluation questionnaire was 18/24.

Conclusions: The presented workflow represents a potential asset for obtaining more accurate and satisfactory results in complex rhinoplasties.

Level of evidence: 5 (diagnostic):

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用于鼻整形手术的内部虚拟规划和 3D 打印手术指南。
背景:即使对于经验丰富的外科医生来说,为颅面畸形患者进行鼻整形手术仍然是一项挑战。三维技术的进步及其在手术规划、切割导板和夹板打印中的应用已成为改善美学和功能效果的重要工具:描述复杂鼻整形病例的手术规划以及切割导板和夹板打印的内部工作流程:本文介绍了一家专门治疗颅裂和颅面畸形的儿童医院颌面部用于复杂鼻整形手术的内部工作流程:结果:定制的手术指南有助于外科医生更准确地采集和塑造潜在的鼻中隔和肋软骨移植物,缩短手术时间,并根据手术规划模板验证鼻形雕刻的尺寸。根据鼻整形结果评估问卷调查,患者满意度为 18/24:结论:所介绍的工作流程是在复杂鼻整形手术中获得更准确、更满意效果的潜在资产。
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来源期刊
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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