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Contemporary Surgical Management of Craniofacial Fibrous Dysplasia Using Computer-Assisted Surgery and Intraoperative
David L Best1,2, Kevin C Lee2,3,4, Renée M Reynolds5
1Pediatric Craniomaxillofacial Surgery, John R. Oishei Children's Hospital.
The Journal of Craniofacial Surgery
|May 13, 2024
Summary
Craniofacial fibrous dysplasia (CFD) surgery is improved with patient-specific depth guides. These guides enhance accuracy in tissue removal, preserving critical structures for better cosmetic results.
Area of Science:
- Craniofacial surgery
- Biomedical engineering
- Skeletal dysplasia
Background:
- Craniofacial fibrous dysplasia (CFD) is a rare bone disease causing facial deformity.
- Traditional surgical debulking relies on freehand techniques and general norms.
- CFD can lead to neurovascular compression, causing pain, vision, and hearing loss.
Observation:
- Computer-assisted surgery, CAD/CAM, and patient-specific guides are transforming CFD management.
- Surgeons can now create precise guides for bone removal.
- This improves accuracy and cosmetic outcomes in craniofacial reconstruction.
Findings:
- A novel technique using patient-specific ostectomy depth guides was developed.
- These guides facilitate maximal fibro-osseous tissue removal.
- Critical deep and adjacent structures are effectively spared during surgery.
Implications:
- This technique offers enhanced precision for craniofacial fibrous dysplasia debulking.
- It allows for safe and effective removal of diseased bone.
- The method has broad applicability across the craniofacial skeleton for improved surgical management.
