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- Publisher
- American Medical Association
- Copyright
- Copyright 2021 American Medical Association. All Rights Reserved.
- ISSN
- 2168-6181
- eISSN
- 2168-619X
- DOI
- 10.1001/jamaoto.2021.0251
- Publisher site
- See Article on Publisher Site
Abstract
Key PointsQuestionDoes the use of virtual surgical planning (VSP) and 3-dimensional (3-D) modeling decrease the need for external incisions in maxillectomy reconstruction? FindingsThis retrospective cohort study of 38 patients who underwent maxillectomies requiring microvascular reconstruction compares one group of patients from an era prior to VSP with one group from an era using VSP and 3-D modeling to design, contour, and inset the reconstructive flap. The patients in the VSP group had a very low rate of lateral rhinotomy despite having equally extensive defects as the patients in the pre-VSP group. MeaningThis study suggests that VSP may help with planning, execution, placement, and fixation for complex free flap maxillectomy defect reconstruction through a transoral minimally invasive approach.
Journal
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jun 1, 2021