Our Summary

This research paper discusses the use of navigated surgery in treating skull and face deformities. The authors present a case where a patient with a specific type of skull deformation (anterior plagiocephaly) was treated using a special technique called frontorbital bandeau remodeling. The navigation system was used during the surgery to guide the surgeons and ensure that the instruments were precisely placed. This technology also helped the surgeons to correctly reposition the bandeau (a surgical implant) according to the pre-surgery planning done using virtual simulation. These steps helped achieve the best possible results.

FAQs

  1. What is the role of navigated surgery in the treatment of craniofacial malformations?
  2. How is navigation used during the osteotomy and reposition phase of the surgery?
  3. What is the purpose of using navigation to ensure the correct positioning of the osteotomy instruments and bandeau in craniofacial surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about craniofacial surgery is to follow post-operative care instructions closely to ensure proper healing and optimal results. This may include proper wound care, taking prescribed medications, attending follow-up appointments, and avoiding certain activities that could interfere with the healing process. It is also important to communicate any concerns or changes in symptoms to your doctor promptly.

Suitable For

Patients who are typically recommended for craniofacial surgery include those with congenital craniofacial malformations such as craniosynostosis, cleft lip and palate, facial asymmetry, and other craniofacial anomalies. These patients may experience functional impairments, aesthetic concerns, and psychological issues related to their condition. Craniofacial surgery aims to correct these malformations, improve facial appearance, restore function, and enhance quality of life for these patients. Navigated surgery, as described in the article, can help ensure precise surgical planning and execution, leading to optimal outcomes for patients undergoing craniofacial surgery.

Timeline

Before craniofacial surgery:

  1. Patient meets with a craniofacial surgeon to discuss treatment options and outcomes.
  2. Pre-operative assessments and imaging scans are conducted to determine the extent of the malformation and plan the surgical approach.
  3. Surgical plan is developed, including virtual simulations of the procedure using navigation technology.
  4. Patient undergoes pre-operative instructions and preparations, which may include dietary restrictions and medication adjustments.

After craniofacial surgery:

  1. Patient is monitored closely in the recovery room for any immediate post-operative complications.
  2. Pain management and wound care are provided to ensure comfort and prevent infection.
  3. Patient may stay in the hospital for a few days for observation and further treatment.
  4. Follow-up appointments are scheduled to monitor healing progress and address any concerns.
  5. Patient undergoes post-operative rehabilitation and physical therapy to help with recovery and optimize outcomes.
  6. Long-term follow-up care is provided to assess the results of the surgery and address any residual issues or complications.

What to Ask Your Doctor

  1. What specific craniofacial malformation do I have and how will craniofacial surgery help correct it?
  2. What are the potential risks and complications associated with craniofacial surgery?
  3. What is the expected recovery time and post-operative care for craniofacial surgery?
  4. How many craniofacial surgeries have you performed and what is your success rate?
  5. What type of anesthesia will be used during the surgery and how will pain be managed afterwards?
  6. Will I need any additional procedures or treatments before or after the craniofacial surgery?
  7. How will navigation technology be used during the surgery and what benefits does it offer?
  8. What are the expected long-term outcomes and potential need for future surgeries or follow-up care?
  9. Are there any alternative treatment options to craniofacial surgery that I should consider?
  10. How can I best prepare for the surgery and what can I expect during the recovery process?

Reference

Authors: Gasparini G, Saponaro G, Todaro M, Doneddu P, Tamburrini G, D’Amato G, Boniello R, Pelo S, Moro A. Journal: J Craniofac Surg. 2019 Sep;30(6):1882-1883. doi: 10.1097/SCS.0000000000005601. PMID: 31058726