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Forehead Flap Templates for Nasal Reconstruction Digitally Developed From 2D and 3D Images.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2022 Jan-Feb 01; Vol. 33 (1), pp. e78-e80. - Publication Year :
- 2022
-
Abstract
- Abstract: The forehead flap is the gold standard procedure for nasal reconstruction to address a partial or complete rhinectomy. Traditionally, the three-dimensional (3D) nasal defect is manually templated intraoperatively to design the two-dimensional (2D) flap shape on intact morphology. In this clinical study, digital preoperative planning is used to template with computer-assisted design and manufacturing. Preoperative digital templates were implemented for 3 representative patients (1 in Supplementary Digital Content, http://links.lww.com/SCS/D60). This includes designs for a hemi-rhinectomy case from 3D mirroring, a partial total rhinectomy case generated from a 3D scan, and a total rhinectomy case generated from a 3D morphable model based on a prepathology 2D photo. Digital unwrapping flattened the patient's 3D nasal geometry designs to 2D skin flap shapes. Finally, the 2D designs were printed as traceable intraoperative templates at a 1:1 scale. This clinical study demonstrates the application of digital 3D preoperative templating to improve workflow for nasal reconstruction.<br />Competing Interests: The authors report no conflicts of interest.<br /> (Copyright © 2021 by Mutaz B. Habal, MD.)
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 33
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 34967530
- Full Text :
- https://doi.org/10.1097/SCS.0000000000008023