2025-06-23 バッファロー大学 (UB)

Reduction cranioplasty, which usually is performed in patients age 2 and older, reduces head circumference, restores symmetry and normalizes head shape. Image courtesy of Michael Markiewicz, Department of Oral and Maxillofacial Surgery
<関連情報>
- https://www.buffalo.edu/news/releases/2025/06/Markiewicz-head-size-surgery.html
- https://journals.sagepub.com/doi/abs/10.1177/10556656241271661
水頭症性巨頭症例における縮小頭蓋形成術: コンピュータ支援手術の秘訣と落とし穴 Reduction Cranioplasty in Cases of Hydrocephalic Macrocephaly: Pearls and Pitfalls of Computer-Assisted Surgery
David L. Best, DDS, MD, Elizabeth Nyabuto, MD, […], and Michael R. Markiewicz, DDS, MPH, MD
Cleft Palate Craniofacial Journal Published:September 8, 2024
DOI:https://doi.org/10.1177/10556656241271661
Abstract
Reduction cranioplasty may be indicated to address functional or cosmetic sequelae of hydrocephalic macrocephaly. With the advent of CAD/CAM digital workflow, surgeons can design and fabricate craniotomy guides, templates, and models that allow for precise cranial reconstruction. Although there are several advantages of virtual planning, pre-determined surgical plans may limit intraoperative flexibility, requiring surgeons to troubleshoot errors in pre-operative planning or model design. The purpose of this report is to present a series of cases demonstrating our institution’s technique for single-stage reduction cranioplasty using a CAD/CAM workflow. This report will highlight the benefits and challenges associated with a contemporary digital workflow for reduction cranioplasty.


