Computer-Aided Maxillofacial Surgery: An Update

Computer-Aided Maxillofacial Surgery: An Update
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DOI:
10.1177/1553350610371626
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发表时间:
2010-09-01
影响因子:
1.5
通讯作者:
Cheung, Lim K.
Cheung, Lim K.
中科院分区:
医学4区
文献类型:
--
作者:
Jayaratne, Yasas S. N.;Zwahlen, Roger A.;Cheung, Lim K.

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导论.技术的最新发展使医学和外科学发生了革命性的变化。本文旨在提供最新的计算机辅助颌面外科的发展趋势,并说明这些进展与临床病例。方法.使用关键词“颌面”和“手术,计算机辅助”检索PubMed数据库中过去5年发表的文章。“检索相关文章的全文,并提取其研究细节。结果在133篇文章中,大多数集中在锥形束计算机断层扫描(CBCT)、立体摄影、手术平移软件和术中导航。立体摄影产生具有自然色彩和纹理的3D面部照片,而CBCT产生出色的硬组织图像,其辐射远低于传统CT扫描。在专业软件的帮助下,从CBCT和立体摄影收集的信息可用于准确诊断、虚拟规划和手术模拟。通过术中手术导航,可以准确执行预先计划的治疗。结论巨大的潜力存在计算机辅助颌面外科手术,因为它从研究走向临床护理。
Introduction. Recent developments in technology have revolutionized medicine and surgery. This article aims at providing an update on the current trends in computer-aided maxillofacial surgery and illustrates these advances with clinical cases. Methods. The PubMed database was searched for articles published during the past 5 years using the keywords "maxillofacial" and "surgery, computer-assisted." Full texts of relevant articles were retrieved, and their study details were extracted. Results. Among the 133 articles, most focused on cone-beam computed tomography (CBCT), stereophotography, surgical panning software, and intraoperative navigation. Stereophotography produces 3D facial photographs with natural color and texture, whereas CBCT generates excellent hard-tissue images with a substantially lower radiation than conventional CT scans. Information gathered from CBCT and stereophotography can be used for accurate diagnosis, virtual planning, and simulation of surgery with the aid of specialized software. The preplanned treatment can be executed accurately via intraoperative surgical navigation. Conclusion. Tremendous potential exists for computer-aided maxillofacial surgery as it moves from research to clinical care.