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Correction: Byun, S.-H. et al. Delayed Reconstruction of Palatomaxillary Defect Using Fibula Free Flap. J. Clin. Med. 2020, 9, 884
Article

Augmented Reality-Assisted Periosteum Pedicled Flap Harvesting for Head and Neck Reconstruction: An Anatomical and Clinical Viability Study of a Galeo-Pericranial Flap

1
Oral and Maxillo-Facial Surgery Unit, IRCCS Policlinico di Sant’Orsola, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40100 Bologna, Italy
2
Human Anatomy, Department of Biomedical and Neuromotor Sciences (DIBINEM), University of Bologna, 40100 Bologna, Italy
3
Bioengineering Lab, Department of Experimental, Diagnostic and Specialty Medicine—DIMES, University of Bologna, 40100 Bologna, Italy
*
Author to whom correspondence should be addressed.
These Authors equally contributed to the manuscript and should be considered as co-first.
These Authors should be considered as co-last.
J. Clin. Med. 2020, 9(7), 2211; https://doi.org/10.3390/jcm9072211
Received: 29 May 2020 / Revised: 29 June 2020 / Accepted: 9 July 2020 / Published: 13 July 2020
(This article belongs to the Special Issue Innovation in Head and Neck Reconstructive Surgery)
Head and neck reconstructive surgeons have recently explored new perspectives in bone restoration using periosteum carrier flaps. Following this idea, we explored the possibility of harvesting a galeo-pericranial flap. The present work studies the vascular supply of the pericranial temporo-parietal region in order to assess the possibility of harvesting a galeo-pericranial flap based on the superficial temporalis vascularization. Anatomical dissections were performed at the Anatomical Institute of the University of Bologna on eight donor cadavers. Then we performed the harvesting of the flap in vivo on eight patients. We introduced augmented reality (AR) to facilitate anatomical visualisation during free flap harvesting. Augmented reality merges virtual and actual objects, allowing direct observation of patient anatomy and the surgical field. No post-operative major or minor complications occurred. We encountered no post-operative functional issues on the donor or recipient sites, and good clinical healing was observed in all patients. In conclusion, we believe that the galea-pericranium flap could represent a new donor site for the harvesting of a periosteum carrier flap. View Full-Text
Keywords: reconstruction; head and neck reconstruction; 3D technologies; augmented reality; temporalis flap; periosteum flap reconstruction; head and neck reconstruction; 3D technologies; augmented reality; temporalis flap; periosteum flap
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MDPI and ACS Style

Battaglia, S.; Ratti, S.; Manzoli, L.; Marchetti, C.; Cercenelli, L.; Marcelli, E.; Tarsitano, A.; Ruggeri, A. Augmented Reality-Assisted Periosteum Pedicled Flap Harvesting for Head and Neck Reconstruction: An Anatomical and Clinical Viability Study of a Galeo-Pericranial Flap. J. Clin. Med. 2020, 9, 2211. https://doi.org/10.3390/jcm9072211

AMA Style

Battaglia S, Ratti S, Manzoli L, Marchetti C, Cercenelli L, Marcelli E, Tarsitano A, Ruggeri A. Augmented Reality-Assisted Periosteum Pedicled Flap Harvesting for Head and Neck Reconstruction: An Anatomical and Clinical Viability Study of a Galeo-Pericranial Flap. Journal of Clinical Medicine. 2020; 9(7):2211. https://doi.org/10.3390/jcm9072211

Chicago/Turabian Style

Battaglia, Salvatore, Stefano Ratti, Lucia Manzoli, Claudio Marchetti, Laura Cercenelli, Emanuela Marcelli, Achille Tarsitano, and Alessandra Ruggeri. 2020. "Augmented Reality-Assisted Periosteum Pedicled Flap Harvesting for Head and Neck Reconstruction: An Anatomical and Clinical Viability Study of a Galeo-Pericranial Flap" Journal of Clinical Medicine 9, no. 7: 2211. https://doi.org/10.3390/jcm9072211

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