{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:47:16Z","timestamp":1790642836225,"version":"4.1.0"},"reference-count":56,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2015,5]]},"abstract":"\n OBJECT<\/jats:title>\n The authors describe a novel technique using computer-assisted design (CAD) and computed-assisted manufacturing (CAM) for the fabrication of individualized 3D printed surgical templates for frontoorbital advancement surgery.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Two patients underwent frontoorbital advancement surgery for unilateral coronal synostosis. Virtual surgical planning (SurgiCase-CMF, version 5.0, Materialise) was done by virtual mirroring techniques and superposition of an age-matched normative 3D pediatric skull model. Based on these measurements, surgical templates were fabricated using a 3D printer. Bifrontal craniotomy and the osteotomies for the orbital bandeau were performed based on the sterilized 3D templates. The remodeling was then done placing the bone plates within the negative 3D templates and fixing them using absorbable poly-dl-lactic acid plates and screws.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Both patients exhibited a satisfying head shape postoperatively and at follow-up. No surgery-related complications occurred. The cutting and positioning of the 3D surgical templates proved to be very accurate and easy to use as well as reproducible and efficient.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Computer-assisted virtual planning and 3D template fabrication for frontoorbital advancement surgery leads to reconstructions based on standardizedmeasurements, precludes subjective remodeling, and seems to be overall safe and feasible. A larger series of patients with long-term follow-up is needed for further evaluation of this novel technique.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2015.3.focus14852","type":"journal-article","created":{"date-parts":[[2015,5,1]],"date-time":"2015-05-01T03:36:59Z","timestamp":1430451419000},"page":"E5","source":"Crossref","is-referenced-by-count":58,"title":["Computer-assisted virtual planning and surgical template fabrication for frontoorbital advancement"],"prefix":"10.3171","volume":"38","author":[{"given":"Jehuda","family":"Soleman","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Thieringer","sequence":"additional","affiliation":[{"name":"Department of Cranio-Maxillofacial Surgery, University Hospital of Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Beinemann","sequence":"additional","affiliation":[{"name":"Department of Cranio-Maxillofacial Surgery, University Hospital of Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Kunz","sequence":"additional","affiliation":[{"name":"Department of Cranio-Maxillofacial Surgery, University Hospital of Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Guzman","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Division of Pediatric Neurosurgery, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-focus14852","series-title":"J Craniofac Surg","first-page":"1810","article-title":"Application of CAD\/CAM prefabricated age-matched templates in cranio-orbital remodeling in craniosynostosis","volume":"22","author":"Burge","year":"2011"},{"key":"b2-focus14852","series-title":"J Craniofac Surg","first-page":"241","article-title":"Application of the spanning plate concept to frontal orbital advancement: techniques and clinical experience in 60 patients","volume":"17","author":"Burstein","year":"2006"},{"key":"b3-focus14852","series-title":"Neuroradiology","first-page":"865","article-title":"Radiological assessment of skull base changes in children with syndromic craniosynostosis: role of \u201cminor\u201d sutures","volume":"56","author":"Calandrelli","year":"2014"},{"key":"b4-focus14852","series-title":"J Craniomaxillofac Surg","first-page":"747","article-title":"Long-term results in nonsyndromatic unilateral coronal synostosis treated with frontoorbital advancement","volume":"41","author":"Engel","year":"2013"},{"key":"b5-focus14852","series-title":"Plast Reconstr Surg","first-page":"70e","article-title":"Recurrence of synostosis following surgical repair of craniosynostosis","volume":"121","author":"Foster","year":"2008"},{"issue":"1 Suppl Operative","key":"b6-focus14852","series-title":"Neurosurgery","first-page":"68","article-title":"Frontoorbital advancement using an en bloc frontal bone craniectomy","volume":"68","author":"Guzman","year":"2011"},{"key":"b7-focus14852","series-title":"J Neurosurg Pediatr","first-page":"193","article-title":"Surgical treatment of single-suture craniosynostosis: an argument for quantitative methods to evaluate cosmetic outcomes","volume":"6","author":"Hankinson","year":"2010"},{"key":"b8-focus14852","series-title":"J Neurosurg Pediatr","first-page":"319","article-title":"Frame-based cranial reconstruction","volume":"13","author":"Hochfeld","year":"2014"},{"key":"b9-focus14852","series-title":"J Neurosurg","first-page":"654","article-title":"Cranial remodeling to treat craniosynostosis by gradual distraction using a new device","volume":"96","author":"Imai","year":"2002"},{"key":"b10-focus14852","series-title":"J Plast Reconstr Aesthet Surg","first-page":"9","article-title":"Surgical outcomes in craniosynostosis reconstruction: the use of prefabricated templates in cranial vault remodelling","volume":"67","author":"Khechoyan","year":"2014"},{"key":"b11-focus14852","series-title":"J Craniofac Surg","first-page":"214","article-title":"Relapse in fronto-orbital advancement: a pilot study","volume":"22","author":"Lwin","year":"2011"},{"key":"b12-focus14852","series-title":"Ann Plast Surg","first-page":"263","article-title":"A frontal pattern for frontocranial remodeling","volume":"17","author":"Marchac","year":"1986"},{"key":"b13-focus14852","series-title":"Plast Reconstr Surg","first-page":"823","article-title":"Radical forehead remodeling for craniostenosis","volume":"61","author":"Marchac","year":"1978"},{"key":"b14-focus14852","series-title":"World J Surg","first-page":"358","article-title":"Craniosynostosis","volume":"13","author":"Marchac","year":"1989"},{"key":"b15-focus14852","series-title":"Plast Reconstr Surg","first-page":"2076","article-title":"Use of a three-dimensional, normative database of pediatric craniofacial morphology for modern anthropometric analysis","volume":"124","author":"Marcus","year":"2009"},{"key":"b16-focus14852","series-title":"J Plast Reconstr Aesthet Surg","first-page":"336","article-title":"Threedimensional preoperative virtual planning and template use for surgical correction of craniosynostosis","volume":"67","author":"Mardini","year":"2014"},{"issue":"2","key":"b17-focus14852","series-title":"Neurosurg Focus","first-page":"E4","article-title":"Reconstruction of unicoronal plagiocephaly with a hypercorrection surgical technique","volume":"31","author":"Mesa","year":"2011"},{"key":"b18-focus14852","series-title":"Int Congr Ser","first-page":"1263","article-title":"Clinical validation of individual templates in cranial reconstruction","volume":"1256","author":"Mommaerts","year":"2003"},{"key":"b19-focus14852","series-title":"J Craniofac Surg","first-page":"178","article-title":"Individualized template-guided remodeling of the fronto-orbital bandeau in craniosynostosis corrective surgery","volume":"20","author":"Pappa","year":"2009"},{"key":"b20-focus14852","series-title":"J Neurosurg","first-page":"370","article-title":"Intracranial pressure in craniostenosis","volume":"57","author":"Renier","year":"1982"},{"key":"b21-focus14852","series-title":"Childs Nerv Syst","first-page":"1313","article-title":"3D visualization and simulation of frontoorbital advancement in metopic synostosis","volume":"23","author":"Rodt","year":"2007"},{"key":"b22-focus14852","series-title":"Childs Nerv Syst","first-page":"405","article-title":"Generation of normative pediatric skull models for use in cranial vault remodeling procedures","volume":"28","author":"Saber","year":"2012"},{"key":"b23-focus14852","series-title":"J Craniofac Surg","first-page":"18","article-title":"Bandeau\u2014the focal point of frontocranial remodeling","volume":"1","author":"Salyer","year":"1990"},{"key":"b24-focus14852","series-title":"Plast Reconstr Surg","first-page":"251e","article-title":"Long-term results following fronto-orbital reconstruction in nonsyndromic unicoronal synostosis","volume":"121","author":"Selber","year":"2008"},{"key":"b25-focus14852","series-title":"J Craniofac Surg","first-page":"1100","article-title":"Computer-aided design and manufacturing in craniosynostosis surgery","volume":"24","author":"Seruya","year":"2013"},{"key":"b26-focus14852","series-title":"Plast Reconstr Surg","first-page":"1011e","article-title":"Simulated frontoorbital advancement and intraoperative templates enhance reproducibility in craniosynostosis","volume":"129","author":"Shah","year":"2012"},{"key":"b27-focus14852","series-title":"Plast Reconstr Surg","article-title":"The importance of timing in optimizing cranial vault remodeling in syndromic craniosynostosis","author":"Utria","year":"2014"},{"key":"b28-focus14852","series-title":"Plast Reconstr Surg","first-page":"575","article-title":"Early surgery for isolated craniofacial dysostosis. Improvement and possible prevention of increasing deformity","volume":"60","author":"Whitaker","year":"1977"},{"key":"b1-focus14852","series-title":"J Craniofac Surg","first-page":"1810","article-title":"Application of CAD\/CAM prefabricated age-matched templates in cranio-orbital remodeling in craniosynostosis","volume":"22","author":"Burge","year":"2011"},{"key":"b2-focus14852","series-title":"J Craniofac Surg","first-page":"241","article-title":"Application of the spanning plate concept to frontal orbital advancement: techniques and clinical experience in 60 patients","volume":"17","author":"Burstein","year":"2006"},{"key":"b3-focus14852","series-title":"Neuroradiology","first-page":"865","article-title":"Radiological assessment of skull base changes in children with syndromic craniosynostosis: role of \u201cminor\u201d sutures","volume":"56","author":"Calandrelli","year":"2014"},{"key":"b4-focus14852","series-title":"J Craniomaxillofac Surg","first-page":"747","article-title":"Long-term results in nonsyndromatic unilateral coronal synostosis treated with frontoorbital advancement","volume":"41","author":"Engel","year":"2013"},{"key":"b5-focus14852","series-title":"Plast Reconstr Surg","first-page":"70e","article-title":"Recurrence of synostosis following surgical repair of craniosynostosis","volume":"121","author":"Foster","year":"2008"},{"issue":"1 Suppl Operative","key":"b6-focus14852","series-title":"Neurosurgery","first-page":"68","article-title":"Frontoorbital advancement using an en bloc frontal bone craniectomy","volume":"68","author":"Guzman","year":"2011"},{"key":"b7-focus14852","series-title":"J Neurosurg Pediatr","first-page":"193","article-title":"Surgical treatment of single-suture craniosynostosis: an argument for quantitative methods to evaluate cosmetic outcomes","volume":"6","author":"Hankinson","year":"2010"},{"key":"b8-focus14852","series-title":"J Neurosurg Pediatr","first-page":"319","article-title":"Frame-based cranial reconstruction","volume":"13","author":"Hochfeld","year":"2014"},{"key":"b9-focus14852","series-title":"J Neurosurg","first-page":"654","article-title":"Cranial remodeling to treat craniosynostosis by gradual distraction using a new device","volume":"96","author":"Imai","year":"2002"},{"key":"b10-focus14852","series-title":"J Plast Reconstr Aesthet Surg","first-page":"9","article-title":"Surgical outcomes in craniosynostosis reconstruction: the use of prefabricated templates in cranial vault remodelling","volume":"67","author":"Khechoyan","year":"2014"},{"key":"b11-focus14852","series-title":"J Craniofac Surg","first-page":"214","article-title":"Relapse in fronto-orbital advancement: a pilot study","volume":"22","author":"Lwin","year":"2011"},{"key":"b12-focus14852","series-title":"Ann Plast Surg","first-page":"263","article-title":"A frontal pattern for frontocranial remodeling","volume":"17","author":"Marchac","year":"1986"},{"key":"b13-focus14852","series-title":"Plast Reconstr Surg","first-page":"823","article-title":"Radical forehead remodeling for craniostenosis","volume":"61","author":"Marchac","year":"1978"},{"key":"b14-focus14852","series-title":"World J Surg","first-page":"358","article-title":"Craniosynostosis","volume":"13","author":"Marchac","year":"1989"},{"key":"b15-focus14852","series-title":"Plast Reconstr Surg","first-page":"2076","article-title":"Use of a three-dimensional, normative database of pediatric craniofacial morphology for modern anthropometric analysis","volume":"124","author":"Marcus","year":"2009"},{"key":"b16-focus14852","series-title":"J Plast Reconstr Aesthet Surg","first-page":"336","article-title":"Threedimensional preoperative virtual planning and template use for surgical correction of craniosynostosis","volume":"67","author":"Mardini","year":"2014"},{"issue":"2","key":"b17-focus14852","series-title":"Neurosurg Focus","first-page":"E4","article-title":"Reconstruction of unicoronal plagiocephaly with a hypercorrection surgical technique","volume":"31","author":"Mesa","year":"2011"},{"key":"b18-focus14852","series-title":"Int Congr Ser","first-page":"1263","article-title":"Clinical validation of individual templates in cranial reconstruction","volume":"1256","author":"Mommaerts","year":"2003"},{"key":"b19-focus14852","series-title":"J Craniofac Surg","first-page":"178","article-title":"Individualized template-guided remodeling of the fronto-orbital bandeau in craniosynostosis corrective surgery","volume":"20","author":"Pappa","year":"2009"},{"key":"b20-focus14852","series-title":"J Neurosurg","first-page":"370","article-title":"Intracranial pressure in craniostenosis","volume":"57","author":"Renier","year":"1982"},{"key":"b21-focus14852","series-title":"Childs Nerv Syst","first-page":"1313","article-title":"3D visualization and simulation of frontoorbital advancement in metopic synostosis","volume":"23","author":"Rodt","year":"2007"},{"key":"b22-focus14852","series-title":"Childs Nerv Syst","first-page":"405","article-title":"Generation of normative pediatric skull models for use in cranial vault remodeling procedures","volume":"28","author":"Saber","year":"2012"},{"key":"b23-focus14852","series-title":"J Craniofac Surg","first-page":"18","article-title":"Bandeau\u2014the focal point of frontocranial remodeling","volume":"1","author":"Salyer","year":"1990"},{"key":"b24-focus14852","series-title":"Plast Reconstr Surg","first-page":"251e","article-title":"Long-term results following fronto-orbital reconstruction in nonsyndromic unicoronal synostosis","volume":"121","author":"Selber","year":"2008"},{"key":"b25-focus14852","series-title":"J Craniofac Surg","first-page":"1100","article-title":"Computer-aided design and manufacturing in craniosynostosis surgery","volume":"24","author":"Seruya","year":"2013"},{"key":"b26-focus14852","series-title":"Plast Reconstr Surg","first-page":"1011e","article-title":"Simulated frontoorbital advancement and intraoperative templates enhance reproducibility in craniosynostosis","volume":"129","author":"Shah","year":"2012"},{"key":"b27-focus14852","series-title":"Plast Reconstr Surg","article-title":"The importance of timing in optimizing cranial vault remodeling in syndromic craniosynostosis","author":"Utria","year":"2014"},{"key":"b28-focus14852","series-title":"Plast Reconstr Surg","first-page":"575","article-title":"Early surgery for isolated craniofacial dysostosis. 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