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Advanced technology in the management of fibrous dysplasia.

Identifieur interne : 001501 ( PubMed/Corpus ); précédent : 001500; suivant : 001502

Advanced technology in the management of fibrous dysplasia.

Auteurs : D J Murray ; G. Edwards ; J G Mainprize ; O. Antonyshyn

Source :

RBID : pubmed:18339597

English descriptors

Abstract

The aim of this paper is to describe the applications of advanced imaging technology in optimising the surgical management of complex craniofacial fibrous dysplasia (FD).

DOI: 10.1016/j.bjps.2007.08.029
PubMed: 18339597

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pubmed:18339597

Le document en format XML

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<title xml:lang="en">Advanced technology in the management of fibrous dysplasia.</title>
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<name sortKey="Murray, D J" sort="Murray, D J" uniqKey="Murray D" first="D J" last="Murray">D J Murray</name>
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<nlm:affiliation>Toronto Adult Craniofacial Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.</nlm:affiliation>
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<name sortKey="Edwards, G" sort="Edwards, G" uniqKey="Edwards G" first="G" last="Edwards">G. Edwards</name>
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<name sortKey="Mainprize, J G" sort="Mainprize, J G" uniqKey="Mainprize J" first="J G" last="Mainprize">J G Mainprize</name>
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<name sortKey="Antonyshyn, O" sort="Antonyshyn, O" uniqKey="Antonyshyn O" first="O" last="Antonyshyn">O. Antonyshyn</name>
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<name sortKey="Edwards, G" sort="Edwards, G" uniqKey="Edwards G" first="G" last="Edwards">G. Edwards</name>
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<name sortKey="Mainprize, J G" sort="Mainprize, J G" uniqKey="Mainprize J" first="J G" last="Mainprize">J G Mainprize</name>
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<term>Facial Bones (radiography)</term>
<term>Facial Bones (surgery)</term>
<term>Female</term>
<term>Fibrous Dysplasia, Polyostotic (radiography)</term>
<term>Fibrous Dysplasia, Polyostotic (surgery)</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Anatomic</term>
<term>Osteotomy (methods)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Skull (radiography)</term>
<term>Skull (surgery)</term>
<term>Stereotaxic Techniques</term>
<term>Tomography, X-Ray Computed</term>
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<term>Fibrous Dysplasia, Polyostotic</term>
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<div type="abstract" xml:lang="en">The aim of this paper is to describe the applications of advanced imaging technology in optimising the surgical management of complex craniofacial fibrous dysplasia (FD).</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The aim of this paper is to describe the applications of advanced imaging technology in optimising the surgical management of complex craniofacial fibrous dysplasia (FD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Preoperative planning involved a number of advanced technologies. Haptic modelling was used to simulate tumour excision and the design of the osteotomies, on a virtual 3D computerised tomographic (CT) scan. Rapid prototyping was employed in fabricating a physical prototype of the skull, featuring the ideal, symmetrical reconstruction. Tumour extirpation was carried out with the aid of stereotactic navigation. Intraoperatively, resorbable mesh is moulded precisely to the shape of the skull prototype, thereby transferring the surgical simulation to the patient in the operating room. The resorbable mesh serves as a template which guides the shape and spatial orientation of an autologous bone graft reconstruction. Pre- and postoperative volumetric differences were assessed to determine the accuracy of the final results.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Short and long term follow-up examinations show excellent cosmetic outcome, with significant restoration of volumetric symmetry.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The added complexity of using the new technologies increases preoperative planning time, but we believe that this is offset by the improved safety during the resection of the tumours as well as the excellent aesthetic outcomes.</AbstractText>
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