Fronto-orbital advancement with patient-specific 3D-printed implants and robot-guided laser osteotomy: an in vitro accuracy assessment

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Michaela Maintz, Nora Desan, Neha Sharma, Jörg Beinemann, Michel Beyer, Daniel Seiler, Philipp Honigmann, Jehuda Soleman, Raphael Guzman, Philippe C. Cattin, Florian M. Thieringer

Published: 01 Jan 2025, Last Modified: 18 Sept 2025Int. J. Comput. Assist. Radiol. Surg. 2025EveryoneRevisionsBibTeXCC BY-SA 4.0
Abstract: The use of computer-assisted virtual surgical planning (VSP) for craniosynostosis surgery is gaining increasing implementation in the clinics. However, accurately transferring the preoperative planning data to the operating room remains challenging. We introduced and investigated a fully digital workflow to perform fronto-orbital advancement (FOA) surgery using 3D-printed patient-specific implants (PSIs) and cold-ablation robot-guided laser osteotomy. This novel approach eliminates the need for traditional surgical templates while enhancing precision and customization, offering a more streamlined and efficient surgical process.