A Web-Based, Integrated Simulation System for Craniofacial Surgical Planning

Background: Advances in computing over the last 10 years have rapidly improved imaging and simulation in health care. Implementation of three-dimensional protocols and image fusion techniques are moving diagnosis, treatment planning, and teaching to a next-generation paradigm. In addition, decreasing cost and increasing availability make generalized use of these techniques possible. Methods: In this article, the authors present a Web-based, integrated simulation system for craniofacial surgical planning and treatment. Image fusion technology was utilized to create a realistic virtual image that can be manipulated in real time. The resultant data can then be shared over the Internet by distantly located practitioners. Results: Initial use of this system proved to be beneficial from a planning standpoint and to be accurate as to the reliability of landmark identification. Additional case studies are needed to further document the results of actual surgical simulation. Conclusion: This technology presents significant advantages in surgical planning and education, both of which can improve patient safety and outcomes. ( Plast. Reconstr. Surg. 123: 1099, 2009.)