title: Combining Virtual Surgical Planning, Intraoperative Navigation, and 3-Dimensional Printing in Prosthetic-Based Bilateral Microtia Reconstruction.
abstract: Reconstructing auricular deformities for bilateral microtia is a demanding challenge especially after failed autologous reconstruction. This case report presents a novel application of virtual surgical planning, computer-assisted design, and intraoperative surgical navigation to preplan and execute placement of custom-tailored silicone auricular prostheses and titanium osseointegrated implants for a bone-anchored hearing aid system in a patient with Treacher Collins syndrome in whom autologous reconstruction had previously failed. Through a collaborative approach between the reconstructive surgeon and anaplastologist, the implementation of advanced digital technologies may offer a superior esthetic and functional outcome to patients with previously failed reconstruction.
authors.affiliation: Postdoctoral Research Fellow, Division of Plastic Surgery, University of Pennsylvania Health System, Philadelphia, PA.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Weissler
authors.affiliation: General Surgery Resident, Department of Surgery, Medstar Georgetown University Hospital, Washington, DC; Postdoctoral Research Fellow, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD.
authors.forename: Michael
authors.initials: M
authors.lastname: Sosin
authors.affiliation: Associate Professor, Department of Plastic and Reconstructive Surgery, Johns Hopkins Hospital, Baltimore, MD.
authors.forename: Amir H
authors.initials: AH
authors.lastname: Dorafshar
authors.affiliation: Clinic Director, Johns Hopkins Facial Prosthetics Clinic, and Associate Professor, Department of Art as Applied to Medicine, Johns Hopkins University, School of Medicine, Baltimore, MD. Electronic address: jgarcia1@jhmi.edu.
authors.forename: Juan R
authors.initials: JR
authors.lastname: Garcia
mesh_terms: D000293:Adolescent; D065817:Congenital Microtia / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D066330:Printing, Three-Dimensional; D011474:Prosthesis Design / Q000379:methods*; D019919:Prosthesis Implantation / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D025321:Surgery, Computer-Assisted