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plan and perform dissection. Plastic surgery used VSP to select tissue expanders and design templates for incisions and osteotomies. 3D printed models offered intraoperative reference to safely separate the brain and its vasculature. 3D printed jigs and guides were fit on the calvarium to guide osteotomies for cranial vault reconstruction, and onto the scalp to guide soft tissue reconstruction. CONCLUSIONS: Successful separation of total craniopagus twins relies on meticulous pre-operativedoi:10.1097/01.gox.0000558429.83457.cc fatcat:rj4trclvnrecvi7cxaghpotnni