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Maxillectomy Reconstruction Revision Using Virtual Surgical Planning and Intraoperative Navigation
Author(s) -
Nwagu Uche,
Swendseid Brian,
Ross Heather,
Ganti Rohan,
Kane Anne,
Curry Joseph M.
Publication year - 2021
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.29543
Subject(s) - scapula , surgical planning , maxilla , medicine , anatomy , computer science , surgery
Secondary revision of osseous flap reconstructions of the maxilla can enhance facial symmetry, but can be challenging due to the absence of normal anatomy and landmarks. We report four cases of maxillectomy reconstruction with scapula tip flap employing a novel combined approach with preoperative virtual surgical planning (VSP) and intraoperative navigation (ION) for secondary revision. VSP was employed to superimpose mirrored normal anatomy upon the reconstructed anatomy, and ION used for real‐time intraoperative anatomical mapping. VSP and ION can be used to optimize maxillary bony revisions and recontouring, thereby improving anatomic symmetry and funtionality. Laryngoscope , 131:E2655–E2659, 2021