caa a22 4500 463181166 CHVBK 20180406164839.0 cr unu---uuuuu 170326e20071101xx s 000 0 eng 10.1007/s00381-007-0455-x doi (NATIONALLICENCE)springer-10.1007/s00381-007-0455-x 3D visualization and simulation of frontoorbital advancement in metopic synostosis [Elektronische Daten] [Thomas Rodt, Arkadius Schlesinger, Alexander Schramm, Marc Diensthuber, Marion Rittierodt, Joachim Krauss] Objectives: Current multislice computed tomography (CT) technology can be used for diagnosis and surgical planning applying computer-assisted three-dimensional (3D) visualization and surgical simulation. The usefulness of a technique for surgical simulation of frontoorbital advancement is demonstrated here in a child with metopic synostosis. Materials and methods: Postprocessing of multi-slice CT data was performed using the software 3D slicer. 3D models were created for the purpose of surgical simulation. These allow planning the course of the osteotomies and individually placing the different bony fragments by an assigned matrix to simulate the surgical result. Photo documentation was obtained before and after surgery. Surgical simulation of the procedure allowed determination of the osteotomy course and assessment of the positioning of the individual bony fragments. Conclusions: Computer-assisted postprocessing and simulation is a useful tool for surgical planning in craniosynostosis surgery. The time-effort for segmentation currently limits the routine clinical use of this technique. Springer-Verlag, 2007 Craniosynostosis nationallicence Image processing nationallicence Computer-assisted nationallicence Computer simulation nationallicence Craniotomy nationallicence Rodt Thomas Department of Radiology, Hannover University Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany aut Schlesinger Arkadius Department of Neuroradiology, Hannover University Medical School, Hannover, Germany aut Schramm Alexander Department of Dentomaxillofacial Surgery, Hannover University Medical School, Hannover, Germany aut Diensthuber Marc Department of Otorhinolaryngology, Hannover University Medical School, Hannover, Germany aut Rittierodt Marion Department of Neurosurgery, Hannover University Medical School, Hannover, Germany aut Krauss Joachim Department of Neurosurgery, Hannover University Medical School, Hannover, Germany aut Child's Nervous System Springer-Verlag 23/11(2007-11-01), 1313-1317 0256-7040 23:11<1313 2007 23 381 https://doi.org/10.1007/s00381-007-0455-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0455-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rodt Thomas Department of Radiology, Hannover University Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany aut NATIONALLICENCE 700 1- Schlesinger Arkadius Department of Neuroradiology, Hannover University Medical School, Hannover, Germany aut NATIONALLICENCE 700 1- Schramm Alexander Department of Dentomaxillofacial Surgery, Hannover University Medical School, Hannover, Germany aut NATIONALLICENCE 700 1- Diensthuber Marc Department of Otorhinolaryngology, Hannover University Medical School, Hannover, Germany aut NATIONALLICENCE 700 1- Rittierodt Marion Department of Neurosurgery, Hannover University Medical School, Hannover, Germany aut NATIONALLICENCE 700 1- Krauss Joachim Department of Neurosurgery, Hannover University Medical School, Hannover, Germany aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/11(2007-11-01), 1313-1317 0256-7040 23:11<1313 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer