Evidence map›Paper›PMID 32971594›Full record

ArticleArchives of plastic surgery2020

The utility of three-dimensional models in complex microsurgical reconstruction.

Adeyemi A Ogunleye, Peter L Deptula, Suzie M Inchauste, Justin T Zelones, Shannon Walters, Kyle Gifford, Chris LeCastillo, Sandy Napel, Dominik Fleischmann, Dung H Nguyen

Abstract read
In one paragraph

Article in Archives of plastic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Adeyemi A OgunleyeDivision of Plastic Surgery, University of North Carolina, Chapel Hill, NC, USA.
Peter L DeptulaDivision of Plastic Surgery, Stanford University, Palo Alto, CA, USA.
Suzie M InchausteDivision of Plastic Surgery, University of Washington, Seattle, WA, USA.
Justin T ZelonesPlastic and Hand Surgical Associates, South Portland, ME, USA.
Shannon Walters3D and Quantitative Imaging Lab, Department of Radiology, Stanford University, Palo Alto, CA, USA.
Kyle Gifford3D and Quantitative Imaging Lab, Department of Radiology, Stanford University, Palo Alto, CA, USA.
Chris LeCastillo3D and Quantitative Imaging Lab, Department of Radiology, Stanford University, Palo Alto, CA, USA.
Sandy Napel3D and Quantitative Imaging Lab, Department of Radiology, Stanford University, Palo Alto, CA, USA.
Dominik Fleischmann3D and Quantitative Imaging Lab, Department of Radiology, Stanford University, Palo Alto, CA, USA.
Dung H NguyenDivision of Plastic Surgery, Stanford University, Palo Alto, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional (3D) model printing improves visualization of anatomical structures in space compared to two-dimensional (2D) data and creates an exact model of the surgical site that can be used for reference during surgery. There is limited evidence on the effects of using 3D models in microsurgical reconstruction on improving clinical outcomes.

methodsA retrospective review of patients undergoing reconstructive breast microsurgery procedures from 2017 to 2019 who received computed tomography angiography (CTA) scans only or with 3D models for preoperative surgical planning were performed. Preoperative decision-making to undergo a deep inferior epigastric perforator (DIEP) versus muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flap, as well as whether the decision changed during flap harvest and postoperative complications were tracked based on the preoperative imaging used. In addition, we describe three example cases showing direct application of 3D mold as an accurate model to guide intraoperative dissection in complex microsurgical reconstruction.

resultsFifty-eight abdominal-based breast free-flaps performed using conventional CTA were compared with a matched cohort of 58 breast free-flaps performed with 3D model print. There was no flap loss in either group. There was a significant reduction in flap harvest time with use of 3D model (CTA vs. 3D, 117.7±14.2 minutes vs. 109.8±11.6 minutes; P=0.001). In addition, there was no change in preoperative decision on type of flap harvested in all cases in 3D print group (0%), compared with 24.1% change in conventional CTA group.

conclusionsUse of 3D print model improves accuracy of preoperative planning and reduces flap harvest time with similar postoperative complications in complex microsurgical reconstruction.

Indexed as

BreastLymphedemaMicrosurgery

Identifiers

PMID32971594
PMCPMC7520243

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.