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混合現実ベースの動的ナビゲーションを用いた下顎骨骨延長術の実現可能性:前臨床研究
Cheng Ma1, Shi-Xi He1, Qian-Yu Liu1
1Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Guangxi Medical University, Nanning, Guangxi, China.
International dental journal
|February 8, 2026
まとめ
新しい動的複合現実(MR)ナビゲーションシステムは、従来の方法と比較して下顎骨骨延長術(MDO)の精度を向上させる。この高度なMRシステムは、MDO処置のためのより良い精度と短い手術時間を提供する。
科学分野:
- 手術ナビゲーション技術
- 医用画像処理と可視化
- 顎矯正手術
背景:
- 下顎骨骨延長術(MDO)は、下顎骨低形成症の治療に不可欠である。
- 複合現実(MR)は、従来の外科ナビゲーション方法よりも潜在的な利点を提供する。
- MDO処置におけるMRナビゲーションの有効性に関するエビデンスは限られている。
主な方法:
- 光学式トラッキングと患者固有のレジストレーションを備えた隣接ディスプレイMRナビゲーションシステムを開発した。
- 3Dプリントされた下顎骨モデル(n=30)およびビーグル犬(n=32)の動物実験を用いてシステム精度を評価した。
- 骨切り術の精度、牽引ベクトル偏差、および手術時間を測定し、10例のヒト死体頭部で実現可能性と精度を評価した。
結論:
- 開発された動的MRナビゲーションシステムは、MDOの精度を向上させる。
- MRナビゲーションは、従来のナビゲーション(TN)および外科用ガイド(SG)ベースの方法と比較して特定の利点を示す。
- このシステムは、MDOにおける精密な臨床応用において大きな可能性を秘めている。
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