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Utilization of Computer-Assisted Navigation Technology Within Craniomaxillofacial Fracture Surgery: A Systematic
Jenna Thuman1, Erika Andrade2, Rebecca Brantley3
1From the Division of Plastic and Reconstructive Surgery, Medical University of South Carolina, Charleston, SC.
Annals of Plastic Surgery
|November 11, 2024
Summary
Intraoperative computer-assisted navigation (iCAN) shows promise in facial fracture repair, improving surgical accuracy and reducing operation time. Further research is needed to fully assess its risks and benefits compared to traditional methods.
Area of Science:
- Craniomaxillofacial surgery
- Medical technology
- Surgical navigation
Background:
- Intraoperative computer-assisted navigation (iCAN) is established in neurosurgery and otolaryngology.
- Its application in facial fracture management is less explored.
- This review examines iCAN's role in craniomaxillofacial fracture surgery.
Purpose of the Study:
- To systematically review the literature on iCAN use in facial fracture management.
- To determine the outcomes, limitations, risks, and benefits of iCAN in this context.
Main Methods:
- Systematic review of PubMed, Cochrane Library, and Embase databases.
- Search terms included "navigation," "intraoperative," "brain lab," and "facial fractures" or "facial reconstruction."
- Analysis of 42 selected studies based on predefined criteria.
Main Results:
- iCAN was most used in unilateral and complex facial fractures.
- Surgical accuracy ranged from 0.7-4 mm; postoperative discrepancy was 0.05-8 mm.
- Benefits included improved accuracy (95.2%), reduced discrepancy (52.4%), and shorter surgical time (35.7%). Limitations included technical difficulties and registration errors.
Conclusions:
- iCAN technology demonstrates favorable outcomes in facial fracture fixation.
- Improvements in operative accuracy, discrepancy, and surgical time are noted.
- Further investigation into cost-effectiveness and comparative risks is warranted.
