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Craniosynostosis surgery: workflow based on virtual surgical planning, intraoperative navigation and 3D printed patient-specific guides and templates

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dc.affiliation.dptoUC3M. Departamento de Bioingenieríaes
dc.affiliation.grupoinvUC3M. Grupo de Investigación: Biomedical Imaging and Instrumentation Groupes
dc.affiliation.grupoinvUC3M. Grupo de Investigación: BSEL - Laboratorio de Ciencia e Ingeniería Biomédicaes
dc.contributor.authorGarcía Mato, David
dc.contributor.authorOchandiano, Santiago
dc.contributor.authorGarcía Sevilla, Mónica
dc.contributor.authorNavarro-Cuéllar, Carlos
dc.contributor.authorDarriba-Alles, Juan V.
dc.contributor.authorGarcía Leal, Roberto
dc.contributor.authorCalvo-Haro, José A.
dc.contributor.authorPérez-Mañanes, Rubén
dc.contributor.authorSalmerón, José I.
dc.contributor.authorPascau González-Garzón, Javier
dc.contributor.funderMinisterio de Ciencia, Innovación y Universidades (España)es
dc.date.accessioned2021-02-12T12:16:30Z
dc.date.available2021-02-12T12:16:30Z
dc.date.issued2019-12-01
dc.description.abstractCraniosynostosis must often be corrected using surgery, by which the affected bone tissue is remodeled. Nowadays, surgical reconstruction relies mostly on the subjective judgement of the surgeon to best restore normal skull shape, since remodeled bone is manually placed and fixed. Slight variations can compromise the cosmetic outcome. The objective of this study was to describe and evaluate a novel workflow for patient-specific correction of craniosynostosis based on intraoperative navigation and 3D printing. The workflow was followed in five patients with craniosynostosis. Virtual surgical planning was performed, and patient-specific cutting guides and templates were designed and manufactured. These guides and templates were used to control osteotomies and bone remodeling. An intraoperative navigation system based on optical tracking made it possible to follow preoperative virtual planning in the operating room through real-time positioning and 3D visualization. Navigation accuracy was estimated using intraoperative surface scanning as the gold-standard. An average error of 0.62 mm and 0.64 mm was obtained in the remodeled frontal region and supraorbital bar, respectively. Intraoperative navigation is an accurate and reproducible technique for correction of craniosynostosis that enables optimal translation of the preoperative plan to the operating room. © 2019, The Author(s).en
dc.description.sponsorshipThis work has been supported by Ministerio de Ciencia, Innovación y Universidades, Instituto de Salud Carlos III, project “PI18/01625”, co-funded by European Regional Development Fund (ERDF), “A way of making Europe”.
dc.identifier.bibliographicCitationGarcía-Mato, D., Ochandiano, S., García-Sevilla, M. et al. Craniosynostosis surgery: workflow based on virtual surgical planning, intraoperative navigation and 3D printed patient-specific guides and templates. Sci Rep 9, 17691 (2019)
dc.identifier.doihttps://doi.org/10.1038/s41598-019-54148-4
dc.identifier.issn2045-2322
dc.identifier.publicationissue1
dc.identifier.publicationtitleScientific Reports
dc.identifier.publicationvolume9
dc.identifier.urihttps://hdl.handle.net/10016/31919
dc.identifier.uxxiAR/0000024235
dc.language.isoeng
dc.publisherNature
dc.relation.projectIDGobierno de España. PI18/01625
dc.rights© The Author(s) 2019
dc.rightsAtribución 3.0 España*
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/es/
dc.subject.ecienciaBiología y Biomedicinaes
dc.subject.otherCraniosynostosesen
dc.subject.otherSkullen
dc.subject.otherCraniosynostosis surgeryen
dc.titleCraniosynostosis surgery: workflow based on virtual surgical planning, intraoperative navigation and 3D printed patient-specific guides and templatesen
dc.typeresearch article*
dc.type.hasVersionVoR*
dspace.entity.typePublication
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