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Evolution of Virtual Surgical Planning Use Among Craniofacial Surgeons
Jake Moscarelli1, Kevin G Hu, David Alper
1Division of Plastic Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT.
The Journal of Craniofacial Surgery
|July 1, 2024
Summary
Virtual surgical planning (VSP) is increasingly used in craniofacial surgery, particularly for orthognathic and reconstructive procedures. Exposure during surgical training has also significantly increased over the past decade.
Area of Science:
- Plastic Surgery
- Maxillofacial Surgery
- Surgical Technology
Background:
- Virtual surgical planning (VSP) offers benefits in craniofacial surgery, with growing adoption.
- Limited data exists on the overall use of VSP among craniofacial surgeons and its integration into surgical training.
- Understanding VSP utilization and training exposure is crucial for advancing craniofacial surgical practices.
Purpose of the Study:
- To characterize the current landscape of VSP use among practicing craniofacial surgeons.
- To assess the extent of exposure to VSP during plastic surgery residency and fellowship training.
- To identify specific procedures where VSP is most commonly applied and its perceived benefits.
Main Methods:
- An electronic survey was administered to members of The American Society of Maxillofacial Surgeons (ASMS) in Fall 2023.
- Data collected included surgeon demographics, VSP usage in practice and training, procedures, and perceived impact.
- Descriptive statistics, chi-squared tests, and t-tests were used for data analysis.
Main Results:
- Of 44 respondents, 90.9% completed fellowship; 40.9% used VSP during residency/fellowship.
- Current VSP use is highest for orthognathic surgery (91.4%), postablative reconstruction (82.1%), and facial feminization (73.3%).
- Surgeons practicing <10 years were significantly more likely to have used VSP in training than those practicing >10 years.
Conclusions:
- Craniofacial surgeons utilize VSP most frequently for specific reconstructive and aesthetic procedures.
- Integration of VSP into residency and fellowship training has markedly increased, especially within the last decade.
- Findings highlight a growing trend and increasing importance of VSP in contemporary craniofacial surgery education and practice.

