Combining Virtual Surgical Planning, Intraoperative Navigation, and 3-Dimensional Printing in Prosthetic-Based Bilateral Microtia Reconstruction

Jason M Weissler; Michael Sosin; Amir H Dorafshar; Juan R Garcia

doi:10.1016/j.joms.2016.12.037

Combining Virtual Surgical Planning, Intraoperative Navigation, and 3-Dimensional Printing in Prosthetic-Based Bilateral Microtia Reconstruction

J Oral Maxillofac Surg. 2017 Jul;75(7):1491-1497. doi: 10.1016/j.joms.2016.12.037. Epub 2017 Jan 4.

Authors

Jason M Weissler¹, Michael Sosin², Amir H Dorafshar³, Juan R Garcia⁴

Affiliations

¹ Postdoctoral Research Fellow, Division of Plastic Surgery, University of Pennsylvania Health System, Philadelphia, PA.
² General Surgery Resident, Department of Surgery, Medstar Georgetown University Hospital, Washington, DC; Postdoctoral Research Fellow, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD.
³ Associate Professor, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD.
⁴ Clinic Director, Johns Hopkins Facial Prosthetics Clinic, and Associate Professor, Department of Art as Applied to Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD. Electronic address: [email protected].

PMID: 28137637
DOI: 10.1016/j.joms.2016.12.037

Abstract

Reconstructing auricular deformities for bilateral microtia is a demanding challenge especially after failed autologous reconstruction. This case report presents a novel application of virtual surgical planning, computer-assisted design, and intraoperative surgical navigation to preplan and execute placement of custom-tailored silicone auricular prostheses and titanium osseointegrated implants for a bone-anchored hearing aid system in a patient with Treacher Collins syndrome in whom autologous reconstruction had previously failed. Through a collaborative approach between the reconstructive surgeon and anaplastologist, the implementation of advanced digital technologies may offer a superior esthetic and functional outcome to patients with previously failed reconstruction.

Publication types

Case Reports

MeSH terms

Adolescent
Congenital Microtia / pathology
Congenital Microtia / surgery*
Female
Humans
Intraoperative Care / methods*
Plastic Surgery Procedures / methods*
Printing, Three-Dimensional*
Prosthesis Design / methods*
Prosthesis Implantation / methods*
Surgery, Computer-Assisted*