TY - JOUR AU1 - Mandelbaum,, Max AU2 - Lakhiani,, Chrisovalantis AU3 - Chao, Jerry, W. AB - Downloaded from http://journals.lww.com/jcraniofacialsurgery by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/04/2020 ORIGINAL ARTICLE A Novel Application of Virtual Surgical Planning to Facial Feminization Surgery Max Mandelbaum, BS, Chrisovalantis Lakhiani, MD, and Jerry W. Chao, MD preoperative planning and production of an intraoperative cutting Abstract: Feminization of the frontonasal-orbital complex is a guide. We universally perform pre-operative computed tomography critical aspect in surgical management of gender dysphoria. Here, (CT) scanning before facial feminization to delineate skeletal and sinus anatomy. we describe our utilization of a prefabricated cutting guide to During a brief planning session, (3D systems, Littleton, CO) facilitate frontal sinus setback. reformatted images from the CT scan are used to generate a 3D skeletal model. On the coronal view, the frontal sinus borders can be Key Words: Cutting guide, facial feminization, frontal sinus visualized and outlined. We typically will ask the VSP engineer to setback, gender dysphoria, virtual surgical planning, VSP inset the borders of the cutting guide 2 mm from the sinus border, which takes into account the width of a marking pen or drill tip. The (J Craniofac Surg 2019;30: 1347–1348) engineer is then instructed to add short extensions into the superior- medial orbits (Fig. 1), which facilitates rapid positioning of TI - A Novel Application of Virtual Surgical Planning to Facial Feminization Surgery JF - Journal of Craniofacial Surgery DO - 10.1097/SCS.0000000000005090 DA - 2019-08-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/a-novel-application-of-virtual-surgical-planning-to-facial-oplJmUXuTH SP - 1347 VL - 30 IS - 5 DP - DeepDyve ER -