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Computer planning and intraoperative navigation in cranio-maxillofacial surgery
1Oral and Maxillofacial Surgery Service, Legacy Emanuel Hospital and Health Center, Head and Neck Surgical Associates, Oregon Health & Science University, 1849 NW Kearney, Suite 300, Portland, OR 97209, USA. bellb@hnsa1.com
Oral and Maxillofacial Surgery Clinics of North America
|February 18, 2010
Summary
Computer-assisted surgery, utilizing preoperative planning and intraoperative navigation, aids in complex cranio-maxillofacial reconstructions. While not for routine cases, it
Area of Science:
- Cranio-maxillofacial surgery
- Medical technology
- Surgical planning
Background:
- Complex cranio-maxillofacial deformities present significant reconstruction challenges.
- Traditional surgical methods may have limitations in accuracy and predictability for severe cases.
Purpose of the Study:
- To evaluate the utility of preoperative computer design, stereolithography, and intraoperative navigation in cranio-maxillofacial reconstruction.
- To identify specific indications where computer-assisted surgery offers advantages.
Main Methods:
- Utilizing preoperative computer-aided design (CAD) and stereolithographic models.
- Employing intraoperative navigation systems during surgical procedures.
- Reviewing early surgical experiences and comparing with existing literature.
Main Results:
- Computer-assisted surgery provides a valuable guide for complex cranio-maxillofacial reconstructions.
- Indications include posttraumatic/postablative reconstruction of orbits, cranium, maxilla, mandible, TMJ replacement, orthognathic surgery, and complex implantology.
Conclusions:
- Computer-assisted surgery is beneficial for complex, non-routine cranio-maxillofacial reconstructions.
- Further research is required to establish definitive outcomes and cost-benefit analyses for specific applications.
