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SHR Neuro Cancer Cardio Lipid Metab Microb

Kovacs, L; Zimmermann, A; Wawrzyn, H; Schwenzer, K; Seitz, H; Tille, C; Papadopulos, NA; Sader, R; Zeilhofer, HF; Biemer, E.
Computer aided surgical reconstruction after complex facial burn injuries -- opportunities and limitations.
Burns. 2005; 31(1): 85-91. Doi: 10.1016/j.burns.2004.07.010 (- Case Report)
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Co-authors Med Uni Graz
Schwenzer-Zimmerer Katja Christine
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Abstract:
In severe facial burn injuries with extensive destruction of anatomical structures, cosmetic and functional outcome of treatment are frequently not satisfactory. Although operative therapy is being continuously refined, the variety and proximity of structures in the facial region is considered a major challenge in reconstructive surgery. We present the case of a 16-year-old patient with a severe facial burn injury. In planning the reconstructive procedures, we used a multimodal approach employing data from computerized tomography imaging, as well as from surface laser scanning, which provided three-dimensional visualization of facial soft tissues. Amount and pattern of structural loss could thus be determined more precisely and studied more vividly than by inspection of two-dimensional imaging alone. Anatomical features to be reconstructed could be projected onto the skin area of the prelaminated vertical rectus abdominis muscle (VRAM) flap that has been chosen to cover the defect. Prior to surgery, correction of the defects was simulated and the results of the virtual procedure superimposed on a three-dimensional head model of the patient. Tissue elasticity and thickness of the flap, however, could not be ascertained in advance, indicating the limitations of the method.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Burns - surgery
Facial Injuries - surgery
Female -
Humans -
Imaging, Three-Dimensional - methods
Lasers - diagnostic use
Models, Anatomic -
Reconstructive Surgical Procedures - methods
Soft Tissue Injuries - surgery
Surgery, Computer-Assisted - methods
Surgical Flaps -
Tomography, X-Ray Computed - methods
Treatment Outcome -

Find related publications in this database (Keywords)
laser surface scanning
vertical rectus abdominis muscle flap
facial burn injury
flap prelamination
computer aided surgery
stereolithographic rapid prototyping models
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