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Computer-aided Planning and Execution in Facial Gender Surgery: Approaches, Concepts, and Implementation
Matthew Louis1, Cecil S Qiu1, Rob Travieso1,2
1Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, Md.
Plastic and Reconstructive Surgery. Global Open
|June 15, 2022
Summary
Computer-aided surgery (CAS) enhances facial gender surgery (FGS) by improving precision in osteotomies and enabling virtual planning for better aesthetic outcomes. This technology offers reproducible results in complex craniofacial reconstructions.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Medical Technology
Background:
- Facial gender surgery (FGS) involves complex craniofacial modifications.
- Computer-aided surgery (CAS) enhances precision in reconstructive procedures.
- FGS demands high aesthetic standards, making it suitable for advanced surgical technologies.
Purpose of the Study:
- To evaluate the application of CAS in FGS.
- To introduce new concepts for osteotomy design and patient-specific implants in FGS.
- To demonstrate the benefits of virtual planning in FGS.
Main Methods:
- Utilized CAS for virtual surgical planning and execution of osteotomies in FGS.
- Applied CAS across all three facial thirds.
- Developed concepts for osteotomy design and patient-specific implants using CAS.
Main Results:
- CAS improved precision and accuracy of osteotomies in FGS.
- Virtual planning facilitated better and more reproducible surgical outcomes.
- CAS allowed for precise execution in challenging surgical fields.
Conclusions:
- CAS is a valuable tool for FGS, enhancing precision and aesthetic results.
- Virtual planning and CAS offer significant advantages for complex craniofacial procedures.
- The described CAS approach introduces innovative concepts for FGS planning and execution.

