Real-Time Image-Guided Navigation in the Management of Alveolar Cleft Repair
Real-Time Image-Guided Navigation in the Management of Alveolar Cleft Repair
复制标题
实时图像引导导航在牙槽裂修复治疗中的应用
DOI：
10.1177/10556656211057744
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Jian Li
中科院分区：
文献类型：
--
作者：
Yuying Zhang;Jiawei Dai;Xiazhou Fu;Jiegang Yang;Yuchuan Fu;Jian Li
目的：介绍动态导航系统在牙槽裂修复中的应用。患者和参与者：本研究共纳入3例单侧牙槽裂无综合征患者。采用实时计算机辅助导航，采用标准化的手术技术实现修复重建。方法：基于计算机断层扫描（CT）数据建立个体虚拟三维（3d）模型，利用导航系统进行术前规划和手术模拟。在术前虚拟规划时，在手术区域直接评估缺损体积或移植物数量。使用该系统可以实时跟踪牙龈骨膜瓣切口，并在三维视图的引导下对植骨进行导航，直至与术前规划的位置匹配。结果：3例牙槽裂患者均在导航引导下成功行牙槽裂手术。通过模型对准程序，实现了术中实际位置与CT图像的精确匹配，系统误差在0.3 mm以内。移植骨在器械和探针导航下按照术前计划植入。所有患者均愈合良好，无严重并发症。结论：图像引导手术导航包括术前规划、手术模拟、术后评估和计算机辅助导航是可行的，临床效果良好。临床意义：这种动态导航可以被证明是一种有价值的选择，在这个复杂的手术过程中，管理的牙槽裂修复。
Objectives: To present the use of dynamic navigation system in the repair of alveolar cleft. Patients and Participants: A total of three non-syndromic patients with unilateral alveolar cleft were involved in this study. Real-time computer-aided navigation were used to achieve restoration and reconstruction with standardized surgical technique. Methods: With the individual virtual 3-dimensional (3-D) modeling based on computed tomography (CT) data, preoperative planning and surgical simulation were carried out with the navigation system. During preoperative virtual planning, the defect volume or the quantity of graft is directly assessed at the surgical region. With the use of this system, the gingival periosteum flap incision can be tracked in real-time, and the bone graft can be navigated under the guidance of the 3-D views until it matches the preoperatively planned position. Results: Three patients with alveolar cleft were successfully performed under navigation guidance. Through the model alignment procedure, accurate matches between the actual intraoperative position and the CT images were achieved within the systematic error of 0.3 mm. The grafted bone was implanted according to the preoperative plan with the aid of instrument- and probe-based navigation. All the patients were healed well without serious complications. Conclusions: These findings suggest that image-guided surgical navigation, including preoperative planning, surgical simulation, postoperative assessment, and computer-assisted navigation was feasible and yielded good clinical outcomes. Clinical relevance: This dynamic navigation could be proved to be a valuable option for this complicated surgical procedure in the management of alveolar cleft repair.
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影响因子：
3.9
作者：
Pastuszak P;Dunin-Wilczyńska I;Lasota A
通讯作者：
Lasota A
DOI：
10.1177/1055665620970427
发表时间：
2020-11
期刊：
The Cleft Palate-Craniofacial Journal
影响因子：
--
作者：
Sven W. C. Jensen;Kyle Stevens
通讯作者：
Sven W. C. Jensen;Kyle Stevens
DOI：
10.1177/10556656211010606
发表时间：
2021-04
期刊：
The Cleft Palate-Craniofacial Journal
影响因子：
--
作者：
Junya Kato;T. Mikoya;Yumi Ito;Yoshiaki Sato;S. Uematsu;Y. Kodama;T. Susami;T. Yamanishi;R. Tak
通讯作者：
Junya Kato;T. Mikoya;Yumi Ito;Yoshiaki Sato;S. Uematsu;Y. Kodama;T. Susami;T. Yamanishi;R. Tak
影响因子：
0.7
作者：
Seike, Takuya;Hashimoto, Ichiro;Nakanishi, Hideki
通讯作者：
Nakanishi, Hideki
影响因子：
3.6
作者：
Jabbari, Fatima;Hakelius, Malin M.;Nowinski, Daniel J.
通讯作者：
Nowinski, Daniel J.