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中华口腔医学研究杂志(电子版) ›› 2017, Vol. 11 ›› Issue (03) : 174 -177. doi: 10.3877/cma.j.issn.1674-1366.2017.03.008

所属专题: 口腔医学 文献

综述

计算机导航技术在口腔颌面外科应用中的新发展
刘敏1, 孙国文1,(), 唐恩溢1   
  1. 1. 210008 南京大学医学院附属口腔医院,南京市口腔医院
  • 收稿日期:2017-03-15 出版日期:2017-06-01
  • 通信作者: 孙国文
  • 基金资助:
    江苏省临床科技项目(BL2013005)

New development of computer-aided navigation for oral and maxillofacial surgery

Min Liu1, Guowen Sun1,(), Enyi Tang1   

  1. 1. Nanjing University, Nanjing Stomatology Hospital, Nanjing 21008, China
  • Received:2017-03-15 Published:2017-06-01
  • Corresponding author: Guowen Sun
  • About author:
    Corresponding author: Sun Guowen, Email:
引用本文:

刘敏, 孙国文, 唐恩溢. 计算机导航技术在口腔颌面外科应用中的新发展[J]. 中华口腔医学研究杂志(电子版), 2017, 11(03): 174-177.

Min Liu, Guowen Sun, Enyi Tang. New development of computer-aided navigation for oral and maxillofacial surgery[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2017, 11(03): 174-177.

计算机导航技术与传统手术方式相比,在提高手术精度、缩短手术时间等方面取得了革命性的进展。口腔颌面部区域解剖关系复杂,重要的神经、血管丰富,使其手术难度较大。利用计算机导航技术,通过术前规划、术中实时导航等可以有效的避免重要组织损伤,提高手术准确度及精确度,因而其在口腔颌面外科手术中应用广泛。针对口腔颌面外科手术的特殊性,在原有导航系统的基础上,与超声结合的技术、与3D打印结合的技术、与颌板结合的技术、磁导航的运用等均使计算机导航技术在口腔颌面外科手术中有了新发展,扩展了计算机导航技术应用适应证,并进一步发挥了计算机导航技术的优势。

Compared with the traditional surgery, computer-assisted surgery shows great advantages such as higher accuracy and decreased intervention time. Because of complexity of oral and maxillofacial anatomy, as well as the existence of important nerves and blood vessels, maxillofacial surgery is undoubtedly much difficult to be handled. Using computer-aided navigation, surgical plan and real-time navigation, the unexpected damaging of the important tissues can be prevented and the accuracy of surgery can be improved. Therefore, it has been widely used in maxillofacial surgery. Considering the features of maxillofacial surgery, new technologies have been developed upon the original navigation, including the combination of ultrasonic technology, 3D printing, jaw plate and electromagnetic navigation system, which enriched the indications of computer-aided navigation.

[1]
He Y, Huang T, Zhang Y,et al. Application of a computer-assisted surgical navigation system in temporomandibular joint ankylosis surgery:a retrospective study[J]. Int J Oral Maxillofac Surg,2017,46(2):189-197.
[2]
Xiaojun C, Ming Y, Yanping L,et al. Image guided oral implantology and its application in the placement of zygoma implants[J]. Comput Methods Programs Biomed,2009,93(2):162-173.
[3]
Chen X, Xu L, Sun Y,et al. A review of computer-aided oral and maxillofacial surgery:planning,simulation and navigation [J]. Expert Rev Med Devices,2016,13(11):1043-1051.
[4]
Hassfeld S, Zöller J, Albert FK,et al. Preoperative planning and intraoperative navigation in skull base surgery[J]. J Craniomaxillofac Surg,1998,26(4):220-225.
[5]
Pietruski P, Majak M, Swiatek-Najwer E,et al. Accuracy of experimental mandibular osteotomy using the image-guided sagittal saw[J]. Int J Oral Maxillofac Surg,2016,45(6):793-800.
[6]
Herford AS, Miller M, Lauritano F,et al. The use of virtual surgical planning and navigation in the treatment of orbital trauma[J]. Chin J Traumatol,2017,20(1):9-13.
[7]
Yu HB, Li B, Zhang L,et al. Computer-assisted surgical planning and intraoperative navigation in the treatment of condylar osteochondroma[J]. Int J Oral Maxillofac Surg,2015,44(1):113-118.
[8]
于洪波,张诗雷,王旭东,等.计算机辅助导航技术在口腔颌面外科中的应用—104例病例分析[J].上海口腔医学,2012,21(4):416-421.
[9]
Chen X, Xu L, Wang H,et al. Development of a surgical navigation system based on 3D slicer for intraoperative implant placement surgery[J]. Med Eng Phys,2017(41):81-89.
[10]
Poeschl PW, Schmidt N, Guevara-Rojas G,et al. Comparison of cone-beam and conventional multislice computed tomography for image-guided dental implant planning[J]. Clin Oral Investig,2013,17(1):317-324.
[11]
Hong J, Matsumoto N, Ouchida R,et al. Medical navigation system for otologic surgery based on hybrid registration and virtual intraoperative computered tomography[J]. IEEE Trans Biomed Eng,2009,56(2):426-432.
[12]
辛鹏飞,沈国芳.口腔颌面外科手术导航分类及其定位配准[J].口腔颌面外科杂志,2010,20(1):60-63.
[13]
Vetter M, Hassenpflug P, Thorn M,et al. Evaluation of visualization techniques for image-guided navigation in liver surgery[J]. Stud Healthy Technol Inform,2002(85):536-541.
[14]
杨成帅,蒋东升,周辉红,等.基于光学定位的超声与CT图像融合——颅颌面软组织导航关键技术研究及初步应用[J].组织工程与重建外科杂志,2016,12(2):98-101.
[15]
Vannier MW, Marsh JL, Warren JO. Three dimensional computer graphics for craniofacial surgical planning and evaluation[J]. Computer Graphics,1983,17(3):263-266.
[16]
Sukegawa S, Kanno T, Shibata A,et al. Use of an intraoperative navigation system for retrieving a broken dental instrument in the mandible:a case report[J]. J Med Case Rep,2017,11(1):14.
[17]
Casap N, Wexler A, Eliashar R. Computerized navigation for surgery of the lower jaw:comparison of 2 navigation systems[J]. J Oral Maxillofac Surg,2008,66(7):1467-1475.
[18]
Wu J, Sun J, Shen SG,et al. Computer-assisted navigation:its role in intraoperatively accurate mandibular reconstruction[J]. Oral Surg Oral Med Oral Pathol Oral Radiol,2016,122(2):134-142.
[19]
Guijarro-Mainez R, Swennen GR. Cone-beam computerized tomography imaging and analysis of the upper airway:a system-atic review of the literature[J]. Int J Oral Maxillofac Surg,2011,40(11):1227-1237.
[20]
Valls-Ontañón A, Mezquida-Fernández C, Guijarro-Martínez R,et al. Three-dimensional surgical planning and simulation to improve surgical accuracy and reduce invasiveness of cranioplasties [J]. Int J Oral Maxillofac Surg,2017,46(5):586-589.
[21]
Neubert J, Bitter K, Somsiri S. Refined intraoperative repositioning of the osteotomized maxilla in relation to the skull and TMJ [J]. J Craniomaxillafacial Surg,1988,16(1):8-12.
[22]
Kral F, Puschban EJ, Riechelmann H,et al. Comparison of optical and electromagnetic tracking for navigated lateral skull base surgery[J]. Int J Med Robot,2013,9(2):247-252.
[23]
Seeberger R, Kane G, Hoffmann J,et al. Accuracy assessment for navigated maxilla-facial surgery using an electromagnetic tracking device[J]. J Craniomaxillofac Surg,2012,40(2):156-161.
[24]
Peacock ZS, Magill JC, Tricomi BJ,et al. Assessment of the OsteoMark-Navigation System for Oral and Maxillofacial Surgery [J]. J Oral Maxillofac Surg,2015,73(10):2005-2016.
[25]
Berger M, Nova I, Kallus S,et al. Electromagnetic navigated positioning of the maxilla after Le FortⅠ osteotomy in preclinical orthognathic surgery cases[J]. Oral Surg Oral Med Oral Pathol Oral Radiol,2017,123(3):298-304.
[26]
Lutz JC, Nicolau S, Agnus V,et al. A novel navigation system for maxillary positioning in orthognathic surgery:Preclinical evaluation[J]. J Craniomaxillofac Surg,2015,43(9):1723-1730.
[27]
Berger M, Kallus S, Nova I,et al. Approach to intraoperative electromagnetic navigation in orthognathic surgery:A phantom skull based trial[J]. J Craniomaxillofac Surg,2015,43(9):1731-1736.
[28]
Franz AM, Haidegger T, Birkfellner W,et al. Electromagnetic tracking in medicine--a review of technology,validation,and applications[J]. IEEE Trans Med Imaging,2014,33(8):1702-1725.
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