The Use of Virtual Surgical Planning in Total Facial Skeletal Reconstruction of Treacher Collins Syndrome: A Case Report. Issue 3 (September 2018)

• Record Type: Journal Article
• Authors: Guo, Yifan; Lopez, Joseph; Yang, Robin; Macmillan, Alexandra; Dorafshar, Amir H.
• Is Part Of: Craniomaxillofacial trauma & reconstruction. Volume 11:Issue 3(2018)
• Page Start: 230
• Page End: 237
• Publication Date: 2018-09
• Subjects: CAD/CAM -- virtual surgical planning -- Treacher Collins syndrome -- midface hypoplasia -- mandibular distraction; Face -- Wounds and injuries -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Wounds and injuries -- Periodicals; Maxilla -- Surgery -- Periodicals; Face -- Surgery; Face -- Wounds and injuries; Maxilla -- Surgery; Maxilla -- Wounds and injuries; Maxillofacial Injuries -- Periodicals; Craniocerebral Trauma -- Periodicals; Reconstructive Surgical Procedures -- methods -- Periodicals; Fulltext; Internet Resources; Periodicals; Periodicals; 617.522
• DOI: 10.1055/s-0037-1604424
• Languages: English
• ISSNs: 1943-3875

Abstract

Facial skeletal reconstruction of patients with severe Treacher Collins syndrome (TCS) requires correction of both midface and mandibular deficiencies. Implementing virtual surgical planning can provide an accurate three-dimensional analysis of craniofacial abnormalities, creating calvarial donors that match the anatomy of the desired malar augmentation and facilitating bimaxillary movements, positioning, and fixation in orthognathic surgery. We present a case of an 18-year-old patient with TCS, who underwent staged zygomaticomaxillary reconstruction and double-jaw osteotomy with sliding genioplasty, using computer-assisted surgical planning. Following these operations, the patient achieved not only improved facial harmony but also class I occlusion.