Preoperative Planning and Follow-Up with Spiral CT and Stereolithographic Models in Craniofacial Surgery

  • T. Fleiter
  • R. Hoffmann
  • R. Niemeier
  • C. D. Claussen
Conference paper


Severe fractures, tumor resection and craniofacial malformations require detailed preoperative planning and post-surgery follow up. With spiral computed tomography (SCT) it became possible to acquire high-resolution, motion artifact reduced images of this region in less time compared to conventional single-slice CT. Additional 3D reconstructions are preferred by the surgeons to get more preoperative information about the anatomical structures, position of fragments and tumor extension. Although several progresses were made according to image quality and 3D imaging, there has always been a missing link between the preoperative planning and the surgical procedure itself. The aim of the study was to evaluate the use of spiral CT and solid 3D-stereolithographic models to overcome this disadvantage and the use of spiral CT in follow-up examinations.


Titanium Milling Osteosarcoma 


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  1. 1.
    Vannier MW, Marsch, JL, Warren JO (1984) Three Dimensional CT reconstruction images for craniofacial surgical planning and evaluation. Radiology 150:179–184PubMedGoogle Scholar
  2. 2.
    Burk DL, Mears DC, Kennedy WH, Cooperstein LA, Herbert DL (1985) Threedimensional computed tomography of acetabular fractures. Radiology 155:183–186PubMedGoogle Scholar
  3. 3.
    Wojcik WG, Edeiken-monroe BS, Harris JH (1987) Three-dimensional computed tomography in acute cervical spine trauma: a preliminary report. Skeletal Radiology 16:261–269PubMedCrossRefGoogle Scholar
  4. 4.
    Soyer P, Roche A, Gad M et al. (1991) Preoperative segmental localisation of hepatic metastases: Utility of three-dimensional CT during arterial portography. Radiology 180:653–658PubMedGoogle Scholar
  5. 5.
    Ney DR, Fishman EK, Magid D et al. (1991) Three-dimensional volumetric display of CT-Data: Effect of scan parameters upon image quality. Journal of Computer Assisted Tomography 15:875–885PubMedCrossRefGoogle Scholar
  6. 6.
    Klein HM, Schneider W, Alzen G, Voy ED, Günther RW (1992) Pediatric craniofacial surgery: comparison of milling and stereolithography for model manufactoring. Pediatr. Radiol. 22:458–460Google Scholar
  7. 7.
    Jonck LM, Grobbelaar CJ (1990) Ionos Bone Cement (Glas-Ionomer): An Experimental and Clinical Evaluation in Joint Replacement. Clinical Materials 6:323–359PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • T. Fleiter
  • R. Hoffmann
  • R. Niemeier
  • C. D. Claussen

There are no affiliations available

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