Are virtual planning and guided surgery for head and neck reconstruction economically viable?

Details

Serval ID
serval:BIB_D7B8671BAD4C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Are virtual planning and guided surgery for head and neck reconstruction economically viable?
Journal
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
Author(s)
Zweifel D.F., Simon C., Hoarau R., Pasche P., Broome M.
ISSN
1531-5053 (Electronic)
ISSN-L
0278-2391
Publication state
Published
Issued date
2015
Volume
73
Number
1
Pages
170-175
Language
english
Notes
Publication types: Journal Article Publication Status: ppublish
Abstract
PURPOSE: Virtual planning and guided surgery with or without prebent or milled plates are becoming more and more common for mandibular reconstruction with fibular free flaps (FFFs). Although this excellent surgical option is being used more widely, the question of the additional cost of planning and cutting-guide production has to be discussed. In capped payment systems such additional costs have to be offset by other savings if there are no special provisions for extra funding. Our study was designed to determine whether using virtual planning and guided surgery resulted in time saved during surgery and whether this time gain resulted in self-funding of such planning through the time saved.
MATERIALS AND METHODS: All consecutive cases of FFF surgery were evaluated during a 2-year period. Institutional data were used to determine the price of 1 minute of operative time. The time for fibula molding, plate adaptation, and insetting was recorded.
RESULTS: During the defined period, we performed 20 mandibular reconstructions using FFFs, 9 with virtual planning and guided surgery and 11 freehand cases. One minute of operative time was calculated to cost US $47.50. Multiplying this number by the time saved, we found that the additional cost of virtual planning was reduced from US $5,098 to US $1,231.50 with a prebent plate and from US $6,980 to US $3,113.50 for a milled plate.
CONCLUSIONS: Even in capped health care systems, virtual planning and guided surgery including prebent or milled plates are financially viable.
Pubmed
Create date
21/01/2015 14:01
Last modification date
20/01/2021 6:26
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