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Contents
Preface
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Bernard J. Costello
Thomas B. Dodson
Outcomes research is focused on measuring the results or end products of health
care interventions, processes, and practices. Data derived from outcomes research
informs clinical practice, quality assurance, and patient safety activities, and can be
the nidus for hypothesis-driven, patient-oriented research. This article introduces
a definition of outcomes research, reviews how outcomes research may guide evidence-based surgical practice and health care processes, and reviews a model for
outcomes research.
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Cleft Lip and Palate Surgery: An Update of Clinical Outcomes for Primary Repair
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Sean P. Edwards
Computer-assisted surgery (CAS) describes all forms of surgery planning or execution that incorporate various forms of advanced imaging, software, analysis, and
planning and, in some cases, rapid prototyping technology, robotics, and imageguidance systems. Innovation is progressing rapidly, and new forms of technology
continue to be incorporated and evaluated for their value in improving daily operations. This article reviews imaging, enhanced three-dimensional diagnostics, tactile
models, CAS concepts, reconstructive surgery, bone flap shaping, distraction osteogenesis, and orthognathic surgery in relation to craniomaxillofacial surgery.
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R. Bryan Bell
Preoperative computer design and stereolithographic modeling combined with intraoperative navigation provide a useful guide for and possibly more accurate reconstruction of a variety of complex cranio-maxillofacial deformities. Although probably not
necessary for routine use, the authors early experience confirms that of other surgeons
with more than a decade of experience: computer-assisted surgery is indicated for
complex posttraumatic or postablative reconstruction of the orbits, cranium, maxilla,
and mandible; total temporomandibular joint replacement; orthognathic surgery; and
complex dental/craniofacial implantology. Further study is needed to provide outcomes data and cost-benefit analyses for each of these indications.
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obviates brain retraction. The goals of surgical excision, whether palliative or curative,
are identical: an approach that is less disruptive to normal tissues. By exploiting the
sinonasal corridor, the entire ventral skull base may be accessed to successfully treat
benign and malignant lesions. The expanding limits of endoscopic skull base surgery
have been accompanied by commensurate innovations in reconstructive techniques
that are reliable and have been shown to limit postoperative complications. This article describes the basis for this approach and provides the latest outcome data supporting the current state of the art for endoscopic skull base surgery.
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Index
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