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Same-Admission Microvascular Maxillofacial Ballistic Trauma Reconstruction Using Virtual Surgical Planning: A Case
Sean A Knudson1, Kristopher M Day1,2,3, Patrick Kelley1,2,3
1Division of Craniofacial and Pediatric Plastic Surgery, Dell Children's Medical Center, The University of Texas at Austin, Austin, TX, USA.
Craniomaxillofacial Trauma & Reconstruction
|September 9, 2022
Summary
Same-admission virtual surgical planning (VSP) for mandibular reconstruction after ballistic trauma is safe and effective. This approach restores form and function without delaying definitive treatment, ensuring good outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Reconstructive Surgery
Background:
- Maxillofacial ballistic trauma (MBT) presents complex reconstructive challenges.
- Virtual surgical planning (VSP) is increasingly utilized in complex reconstructions.
- The efficacy of VSP for same-admission mandibular reconstruction post-MBT remains under investigation.
Purpose of the Study:
- To evaluate the sufficiency of VSP for definitive mandibular reconstruction and functional occlusion following acute MBT.
- To assess the safety and effectiveness of same-admission microsurgical reconstruction facilitated by VSP.
Main Methods:
- Retrospective case series of five patients undergoing VSP-assisted mandibular reconstruction.
- Systematic review of PubMed/MEDLINE, Embase, ScienceDirect, and Scopus databases.
- Thematic analysis of included literature.
Main Results:
- Five patients underwent successful same-admission reconstruction with complete flap survival.
- Patients achieved centric occlusion, oral nutrition, and approximated baseline facial aesthetics.
- VSP did not delay reconstruction; minor complications occurred in all patients.
Conclusions:
- Same-admission microsurgical reconstruction using VSP is safe and effective for restoring mandibular form and function after MBT.
- VSP facilitates definitive reconstruction and functional outcomes without compromising the treatment timeline.
