Planificación Quirúrgica con Modelos 3D en Craneosinostosis Compleja: Un Caso Clínico
Introduction: Nonsyndromic complex craniosynostosis poses a significant surgical challenge due to asymmetrical skull deformities, increased risk of intracranial hypertension, and frequent need for reoperation. Three-dimensional (3D) surgical planning has emerged as a valuable tool in these complex c...
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| Autores principales: | , , , |
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| Formato: | Artículo |
| Lenguaje: | español |
| Publicado: |
2025
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| Materias: | |
| Acceso en línea: | https://dialnet.unirioja.es/servlet/oaiart?codigo=10330470 |
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| Sumario: | Introduction: Nonsyndromic complex craniosynostosis poses a significant surgical challenge due to asymmetrical skull deformities, increased risk of intracranial hypertension, and frequent need for reoperation. Three-dimensional (3D) surgical planning has emerged as a valuable tool in these complex cases. Objective: To describe the use of a 3D model for surgical planning in a pediatric patient with nonsyndromic complex craniosynostosis, and to assess its impact on surgical accuracy, safety, and postoperative outcomes. Methods: We present the case of a 2-year-7-month-old female patient with cranial restenosis after previous surgery. A life-size 3D model made of polyamide was used to preoperatively plan a parietal transposition technique described by Gordillo. Bone cuts were performed in advance and templates were sterilized and used intraoperatively. Results: The surgery was completed without complications, with a total duration of 4 hours and 20 minutes and minimal bleeding. Postoperative 3D imaging confirmed a nearly identical result to the preoperative model. Conclusion: 3D surgical planning enhances precision, reduces intraoperative risks, and optimizes outcomes in the correction of complex craniosynostosis. Its use should be considered standard in anatomically challenging or previously operated cases. |
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