Reduction of Operating Time and Blood Transfusion for Craniosynostosis by Simulated Surgery Using Three-dimensional Solid Models

Keisuke IMAI; Kounosuke TSUJIGUCHI; Chiaya TODA; Eiji ENOKI; Ki-Chul SUNG; Hiroaki SAKAMOTO; Syouhei KITANO; Mitsuo HATOKO; Sadao TAJIMA

doi:10.2176/nmc.39.423

Keisuke IMAI, Kounosuke TSUJIGUCHI, Chiaya TODA, Eiji ENOKI, Ki-Chul SUNG, Hiroaki SAKAMOTO, Syouhei KITANO, Mitsuo HATOKO, Sadao TAJIMA

Author information

Keisuke IMAI
Department of Plastic and Reconstructive Surgery, Osaka City General Hospital
Kounosuke TSUJIGUCHI
Department of Plastic and Reconstructive Surgery, Osaka City General Hospital
Chiaya TODA
Department of Plastic and Reconstructive Surgery, Osaka City General Hospital
Eiji ENOKI
Department of Plastic and Reconstructive Surgery, Osaka City General Hospital
Ki-Chul SUNG
Department of Plastic and Reconstructive Surgery, Osaka Medical College
Hiroaki SAKAMOTO
Departments of Pediatric Neurosurgery, Osaka City General Hospital
Syouhei KITANO
Departments of Pediatric Neurosurgery, Osaka City General Hospital
Mitsuo HATOKO
; Division of Plastic and Reconstructive Surgery, Nara Medical University
Sadao TAJIMA
Department of Plastic and Reconstructive Surgery, Osaka Medical College

Keywords: blood transfusion, three-dimensional solid model, craniosynostosis, operating time

JOURNAL FREE ACCESS

1999 Volume 39 Issue 6 Pages 423-427

DOI https://doi.org/10.2176/nmc.39.423

Details

Abstract

Preoperative planning of craniofacial synostosis can be achieved through the use of two or threedimensional (3D) computed tomography (CT) images and by 3D solid models. The advantage of using 3D models was evaluated by calculating the amount of blood transfused and the operating time for 36 craniosynostosis procedures, 21 planned with 3D models and 15 with CT images performed in the past 7 years. The use of 3D models reduced both blood loss and operating time for fronto-orbital advancement with reshaping, LeFort III advancement, and LeFort IV minus Glabellar advancement; blood loss for fronto-orbital advancement without reshaping; and operating time for total cranial reshaping.

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