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Computer-assisted navigation in oral and maxillofacial surgery: A systematic review
Nourah M Alkhayatt1, Hadeel H Alzahrani2, Suhael Ahmed3
1College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
The Saudi Dental Journal
|March 25, 2024
Summary
Computer-assisted navigation enhances surgical precision in oral and maxillofacial procedures. This technology improves outcomes, reduces errors, and shortens surgery time for better patient function and appearance.
Area of Science:
- Oral and Maxillofacial Surgery
- Medical Technology
- Surgical Navigation
Background:
- Computer-assisted navigation (CAN) defines devices for pinpointing anatomical features, guiding surgical paths, and optimizing orientation.
- This study comprehensively reviews CAN applications in oral and maxillofacial surgery.
Purpose of the Study:
- To conduct a systematic literature search on computer-assisted navigation in oral and maxillofacial surgery.
- To evaluate the impact of CAN systems on surgical outcomes in this region.
Main Methods:
- Systematic literature search following PRISMA guidelines across five databases (Medline, Web of Science, PubMed, Google Scholar, SDL).
- Formulated central research question: "Does the computer-assisted navigation system improve the outcome of surgical procedures in the oral and maxillofacial region?"
- Assessed risk of bias using Cochrane Risk of Bias 2 tool.
Main Results:
- CAN is beneficial in post-traumatic midfacial reconstruction and for removing foreign bodies.
- It aids in locating critical anatomy, pre-operative planning, and verifying surgical success for dentofacial abnormalities.
- CAN reduces surgical error margins and operative duration.
Conclusions:
- Computer-assisted navigation shows significant promise for improving surgical accuracy through virtual planning and real-time guidance.
- Advancements in software can further reduce preoperative planning and surgical times.

