Computer Planning and Intraoperative Navigation in Cranio-Maxillofacial Surgery

Computer Planning and Intraoperative Navigation in Cranio-Maxillofacial Surgery
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DOI:
10.1016/j.coms.2009.10.010
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发表时间:
2010-02-01
影响因子:
1.5
通讯作者:
Bell, R. Bryan
Bell, R. Bryan
中科院分区:
医学3区
文献类型:
--
作者:
Bell, R. Bryan

文献摘要

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术前计算机设计和立体光刻建模结合术中导航为各种复杂颅颌面畸形的重建提供了有用的指导,并可能更准确。虽然可能不需要常规使用,但作者的早期经验证实了其他具有十多年经验的外科医生的经验:计算机辅助手术适用于眼眶、颅骨、上颌骨和下颌骨的复杂创伤后或消融后重建;全颞下颌关节置换术;正颌外科手术;以及复杂的牙科/颅面种植术。需要进一步的研究来提供这些适应症的结局数据和成本效益分析。
Preoperative computer design and stereolithographic modeling combined with intraoperative navigation provide a useful guide for and possibly more accurate reconstruction of a variety of complex cranio-maxillofacial deformities. Although probably not necessary for routine use, the author's early experience confirms that of other surgeons with more than a decade of experience: computer-assisted surgery is indicated for complex posttraumatic or postablative reconstruction of the orbits, cranium, maxilla, and mandible; total temporomandibular joint replacement; orthognathic surgery; and complex dental/craniofacial implantology. Further study is needed to provide outcomes data and cost-benefit analyses for each of these indications.