水頭症性大頭症の治療におけるコンピュータ支援手術の利点と課題(UB surgeons use computer-assisted surgery to reduce head size)

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2025-06-23 バッファロー大学 (UB)

水頭症性大頭症の治療におけるコンピュータ支援手術の利点と課題(UB surgeons use computer-assisted surgery to reduce head size)
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

バッファロー大学のマルキエヴィッチ教授らは、小児の巨大頭症に対する減圧頭蓋形成術で、CAD/CAMによるデジタル計画と手術ガイドの有効性を報告した。CT画像を用いて仮想手術を行い、精密な切開・固定テンプレートを作成。2〜6歳の3人の患者で手術を実施し、頭囲の正常化と左右対称な頭蓋形状を実現した。リスクはあるが、デジタル技術により正確性が向上。成果はCleft Palate Craniofacial Journalに掲載された。

<関連情報>

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.

医療・健康
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