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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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A Comprehensive Approach for Measuring Spatial Deviations of Computer-Assisted Mandibular Reconstruction.

Wei-Fa Yang1, Peirong Yu1, Wang-Yong Zhu1

  • 1From the Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hong Kong; and Department of Plastic Surgery, University of Texas, M. D. Anderson Cancer Center.

Plastic and Reconstructive Surgery
|February 23, 2022
PubMed
Summary

A new method standardizes spatial deviation measurements in computer-assisted mandibular reconstruction. This approach aids in accurate postoperative verification and comparison across studies.

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Area of Science:

  • Biomedical Engineering
  • Surgical Technology
  • Anatomy

Background:

  • Computer-assisted surgery is standard for mandibular reconstruction.
  • Lack of standardized measurement hinders verification and comparison.
  • Need for a comprehensive approach to assess spatial deviations.

Purpose of the Study:

  • To establish a comprehensive approach for measuring spatial deviations in computer-assisted mandibular reconstruction.
  • To standardize postoperative verification and subject comparison.

Main Methods:

  • Systematic review of 80 studies on computer-assisted mandibular reconstruction measurements.
  • Extraction and categorization of 31 distinct measurements.
  • Development of a comprehensive panel of anatomical landmarks (parts, points, lines, planes, angles).

Main Results:

  • A comprehensive panel of anatomical landmarks was established.
  • Measurements covered overall mandible, condyle, gonial angle, bone grafts, midline, surgical plate, and osteotomy.
  • A calculation spreadsheet was developed for automated deviation computation.
  • A simplified panel of measurements was recommended.

Conclusions:

  • A comprehensive approach for measuring spatial deviations in computer-assisted mandibular reconstruction has been established.
  • This system is proposed as an effective and scientific tool for postoperative verification.
  • Further studies are needed to confirm its efficacy.