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Journal of Korean Neurosurgical Society 1997;26(12): 1733-1738.
Preoperative Planning for Reconstruction of Apert Skull.
Young Soo Kim, Hee Yeun Choi, Sun Il Kim
1Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea.
2Department of Plastic Surgery, School of Medicine, Hanyang University, Seoul, Korea.
3Department of Medical Information, School of Medicine, Hanyang University, Seoul, Korea.
Apert syndrome is characterized by a hyperacrobrachycephalic skull with a flattened occiput, and malformations of the midface, hands and feet, as well as complicated multiple craniosynostosis and dysmorphism of the skull. Several authors have recently reported in the treatment of complicated skull anomalies that simple x-ray and axial/coronal CT imaging cannot provide sufficiently precise information, and presurgical planning cannot be based on the findings of these procedures ; three-dimensional(3D) reconstruction of CT images is, instead, needed. By means of a computerized simulation, the authors reformatted skull contour on a monitor using the method of splitting and remodeling a 3D skull image. Surgery was performed and the result was good. Presurgical computerized simulation was thus shown to be very helpful for the surgical correction of complicated craniosynostosis.
Key Words: Apert syndrome; Three-dimensional reconstruction; Craniosynostosis; Presurgical simulation
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