Modern Technology Applied to Classic Technique: Virtual Surgical Planning for Design of Split-Calvarial Bone Graft for Frontal Reconstruction after Osteoma Resection in a Fifteen-Year-Old Male

Authors' Affiliations

Taylor Martin, Quillen College of Medicine, East Tennessee State University, Johnson City, TN. Abbey Johnson, Quillen College of Medicine, East Tennessee State University, Johnson City, TN. Alex Condra, Quillen College of Medicine, East Tennessee State University, Johnson City, TN. Dr. Neil Horsley, Department of Surgery, East Tennessee State University, Johnson City, TN. Dr. Jeremy Powers, Department of Surgery, East Tennessee State University, Johnson City, TN.

Location

Culp Center Ballroom

Start Date

4-25-2023 9:00 AM

End Date

4-25-2023 11:00 AM

Poster Number

95

Faculty Sponsor’s Department

Surgery

Name of Project's Faculty Sponsor

Jeremy Powers

Classification of First Author

Medical Student

Competition Type

Competitive

Type

Poster Case Study Presentation

Project's Category

Craniofacial Disorders

Abstract or Artist's Statement

Osteoid osteomas are common, painful, osteoblast tumors that frequently present in adolescents and young adults. Surgical management is indicated for cases with associated symptoms, such as headaches, dizziness, diplopia, proptosis, sinusitis, and facial deformity. The authors report a case of a 15-year-old male with an enlarging frontal sinus osteoma. Virtual surgical planning was utilized to design a KLS Martin Resorbable plate for the graft site, as well as a cutting guide for the graft procedure. A split-calvarial bone graft was used to reconstruct the central bony defect in the anterior table of the frontal sinus. Virtual surgical planning sessions were initiated with KLS Martin biomedical engineers to design a graft. Design cutting guides were created for frontal craniotomy, and an interlocking cutting guide was created for the split calvarial bone graft. The graft was harvested from the non-dominant right parietal hemisphere to best match the curvature of the frontal bone. Post-operatively, the patient has not had any complications to date. This procedure proves to be a valuable consideration for the surgical treatment of pediatric osteomas.

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Apr 25th, 9:00 AM Apr 25th, 11:00 AM

Modern Technology Applied to Classic Technique: Virtual Surgical Planning for Design of Split-Calvarial Bone Graft for Frontal Reconstruction after Osteoma Resection in a Fifteen-Year-Old Male

Culp Center Ballroom

Osteoid osteomas are common, painful, osteoblast tumors that frequently present in adolescents and young adults. Surgical management is indicated for cases with associated symptoms, such as headaches, dizziness, diplopia, proptosis, sinusitis, and facial deformity. The authors report a case of a 15-year-old male with an enlarging frontal sinus osteoma. Virtual surgical planning was utilized to design a KLS Martin Resorbable plate for the graft site, as well as a cutting guide for the graft procedure. A split-calvarial bone graft was used to reconstruct the central bony defect in the anterior table of the frontal sinus. Virtual surgical planning sessions were initiated with KLS Martin biomedical engineers to design a graft. Design cutting guides were created for frontal craniotomy, and an interlocking cutting guide was created for the split calvarial bone graft. The graft was harvested from the non-dominant right parietal hemisphere to best match the curvature of the frontal bone. Post-operatively, the patient has not had any complications to date. This procedure proves to be a valuable consideration for the surgical treatment of pediatric osteomas.