Contemporary Surgical Strategies, Advanced Imaging, and Intelligent Technologies in Head and Neck Surgery

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Guest Editor
National Medical Institute of the Ministry of Interior and Administration, Wołoska 137, 02-507 Warsaw, Poland
Interests: temporomandibular joint; mandibular condyle; osteosynthesis; osteonecrosis; arthrocentesis; intra-articular injections; pediatric maxillofacial traumatology
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Special Issue Information

Dear Colleagues,

Recent years have witnessed a rapid evolution in surgical strategies and diagnostic tools in head and neck surgery. Maxillofacial and otolaryngologic procedures increasingly benefit from integrating advanced imaging techniques and artificial intelligence (AI)-based solutions. These developments allow for more accurate diagnostics, individualized treatment planning, intraoperative guidance, and improved functional outcomes.

This Special Issue aims at gathering original research, reviews, case reports, and technical notes focusing on innovative surgical techniques, intelligent technologies, and imaging modalities applied to the management of head and neck conditions. We welcome multidisciplinary contributions from the fields of maxillofacial surgery, otolaryngology, temporomandibular disorder (TMD) management, radiology, computer science, and biomedical engineering.

Topics of interest include, but are not limited to, the following:

  • Novel surgical approaches in maxillofacial and otolaryngologic procedures;
  • Image-guided surgery and intraoperative navigation;
  • Temporomandibular joint (TMJ) surgery, arthroscopy, lavage, and injections;
  • Three-dimensional imaging and segmentation in diagnosis and treatment planning;
  • AI-based diagnostics and decision-support systems in head and neck disorders;
  • Surgical applications of CBCT, MRI, and intraoral imaging;
  • Robotic and minimally invasive technologies in head and neck surgery;
  • Functional and aesthetic outcomes in craniofacial reconstruction;
  • Integration of surgical planning software with intraoperative execution;
  • Experimental models and simulation in surgical training and planning.

Dr. Maciej Chęciński
Guest Editor

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Keywords

  • head and neck surgery
  • maxillofacial
  • otolaryngology
  • robotic technology
  • minimally invasive technology
  • craniofacial reconstruction

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Published Papers (2 papers)

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16 pages, 11571 KB  
Case Report
Role of Patient-Specific 3D-Printed Models for Complex Pediatric Craniocervical Junction Surgery: Case Description and Systematic Literature Review
by David S. K. Mak, Yu Tung Lo, Mark B. W. Tan, Dinesh S. Kumar and Sharon Y. Y. Low
Surg. Tech. Dev. 2026, 15(1), 1; https://doi.org/10.3390/std15010001 - 30 Dec 2025
Viewed by 327
Abstract
Background: Pediatric craniocervical junction (CCJ) anomalies consist of a unique subset of anatomically complex spine conditions. The aims of intervention are to achieve long-term stability, correct existing deformity, and prevent neurological compromise. However, surgery is challenging due to critical neurovascular and musculoskeletal structures [...] Read more.
Background: Pediatric craniocervical junction (CCJ) anomalies consist of a unique subset of anatomically complex spine conditions. The aims of intervention are to achieve long-term stability, correct existing deformity, and prevent neurological compromise. However, surgery is challenging due to critical neurovascular and musculoskeletal structures in the limited operative space of a young child. Recently, the use of three-dimensional (3D) printed models has been demonstrated to be valuable neurosurgical adjuncts. We therein report the application of a 3D-printed model for a pediatric case with a complex CCJ condition. A systematic review of the related literature is concurrently performed. Case description: A 10-year-old male presented with torticollis associated with neck pain and progressive thoracic kyphosis. Neuroimaging reported an unfused os odontoideum inferior to the basion and anterior half of the C2 vertebral body and anteriorly angulated with the C1 anterior arch. Of note, there was a large vertebral vein coursing over the left C2 lamina that was predominantly draining into the CCJ venous plexus. A radiologically derived 3D model of the patient’s CCJ was printed and used for pre-operative planning, multi-disciplinary team discussion, and detailed counseling with the patient and caregivers. The patient underwent an uneventful C1–C2 posterior screw fixation and has recovered well since. Separately, we observed there is a paucity of publications specific to this topic. Conclusions: As demonstrated, a custom-made 3D model was useful for clinicians work through technical difficulties and improve the perioperative discussion process in an otherwise difficult case. Full article
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10 pages, 1065 KB  
Technical Note
Mandibular Ramus Vertical Augmentation in Hemifacial Microsomia: Technical Evolution from Osteogenic Distraction to Sagittal Osteotomy
by Francesco Laganà, Bruno Carlo Brevi, Alice Marzi Manfroni, Francesco Arcuri, Alessia Spinzia, Emanuela Ardito, Luigi Angelo Vaira, Marjon Sako, Edlira Baruti Papa and Bernardo Bianchi
Surg. Tech. Dev. 2025, 14(4), 40; https://doi.org/10.3390/std14040040 - 19 Nov 2025
Viewed by 721
Abstract
Introduction: Hemifacial hypoplasia is the second most common congenital craniofacial anomaly after cleft lip and palate. Mandibular ramus deficiency represents a key component of this condition, and vertical augmentation is traditionally managed with distraction osteogenesis. However, technical challenges related to device positioning and [...] Read more.
Introduction: Hemifacial hypoplasia is the second most common congenital craniofacial anomaly after cleft lip and palate. Mandibular ramus deficiency represents a key component of this condition, and vertical augmentation is traditionally managed with distraction osteogenesis. However, technical challenges related to device positioning and vector control continue to limit its reproducibility. This study aims to describe and compare three surgical techniques for mandibular ramus augmentation in hemifacial microsomia and to develop a surgical treatment algorithm based on individual anatomical characteristics and clinical complexity. Materials and Methods: From 2010 to 2022, eighteen patients with Pruzansky–Kaban grade I–IIb hypoplasia underwent staged orthodontic–surgical treatment at our institutions. The standard protocol included initial ramus vertical augmentation followed by bimaxillary osteotomy for asymmetry correction. The patients were equally divided into three groups of six patients each, based on the surgical technique employed. Three representative cases were selected to illustrate the evolution of our approach: (1) bidirectional distraction following a full-thickness osteotomy above the lingula; (2) unidirectional distraction applied to a sagittal ramus osteotomy according to Obwegeser; and (3) direct vertical augmentation with rigid fixation after sagittal osteotomy, supported by virtual surgical planning. Results: Vertical ramus augmentation of 15–25 mm was achieved in all cases. The first technique proved effective but technically demanding. The second approach improved vector control and device stability. The third, involving direct vertical augmentation with rigid fixation, simplified the procedure, reduced costs, and maintained bony contact for stable healing. Conclusions: Sagittal ramus osteotomy with direct stabilization represents a promising alternative to traditional distraction in selected patients, combining historical surgical principles with computer-assisted planning to achieve reproducible outcomes. Full article
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