口腔外科手术导航导论:病例系列

G. Novelli, Mattia Moretti, M. Meazzini, Cristina Maria Angela Cassé, F. Mazzoleni, D. Sozzi
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引用次数: 1

摘要

外科导航技术在口腔颌面外科手术中的应用越来越广泛。事实上,计算机辅助手术在手术过程中提供了实时、精确和准确的定位和指导。我们的工作目的是介绍近几十年来外科导航的发展,描述该技术的一些技术方面,探索外科导航在口腔外科中应用的新可能性,并验证计算机辅助手术的准确性。我们纳入了4例患者,他们在锥形束CT数据集上进行了虚拟规划,并使用非侵入性基准标记进行了手术导航。第一位患者在脸颊软组织中出现正畸弓脱位,而其他患者则出现多余和埋伏的牙元。其中2例为颅面缝闭。我们评估了计算机辅助手术的准确性,计算了真实目标和虚拟目标之间的差异。在所有情况下,目标配准误差小于等于1mm。我们可以肯定,手术导航是一种有效的工具,以提高口腔手术,保证了无可置疑的优势,在可靠性和可预测性的结果,特别是在复杂的情况下。
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Introduction to Surgical Navigation in Oral Surgery: A Case-Series
The application of surgical navigation in oral and maxillo-facial surgery has been increasing over time. In fact, computer-assisted surgery provides real-time, precise, and accurate position and guidance during surgery. The purpose of our work is to introduce the evolution of surgical navigation in recent decades, describe some technical aspects of this technology, explore new possibilities of application of surgical navigation in oral surgery, and validate the accuracy of computer-assisted surgery. We included four patients in our sample who underwent virtual planning on the cone beam CT data set and surgical navigation using non-invasive fiducial markers. The first patient presented a dislocated orthodontic arch in the soft tissues of the cheek, while the other patients presented supernumerary and impacted dental elements. Among them, two patients were affected by craniofacial synostosis. We evaluated the accuracy of computer-assisted surgery, calculating the discrepancy between the real and virtual target. In all cases, the target registration error was less than or equal to 1 mm. We can affirm that surgical navigation is a valid tool to enhance oral surgery, guaranteeing an undoubted advantage in terms of the reliability and predictability of the results, especially in complex cases.
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