Heiland M, Pohlenz P, Blessmann M, Werle H, Fraederich M, Schmelzle R, Blake F A S
Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Germany.
Int J Oral Maxillofac Surg. 2008 Jan;37(1):70-5. doi: 10.1016/j.ijom.2007.06.011. Epub 2007 Sep 5.
The use of a combination of intraoperative cone-beam computed tomography (CBCT) and a navigation system via a spinal software platform for the navigated implantation of oral implants after microsurgical bone transfer is described. Intraoperative data sets were generated using Arcadis Orbic 3D (Siemens, Medical Solutions, Erlangen, Germany) and immediately transferred to the VectorVision(2) navigation system (BrainLAB, Feldkirchen, Germany) via the NaviLink interface. In two patients who underwent microsurgical bone transfer for midfacial reconstruction, implants were placed using intraoperatively acquired CBCT data sets for planning and navigated insertion. In both cases, successful realization of the planned implant sites was achieved by the guidance of the drill, leading to rehabilitation of both patients. CBCT data generated by mobile systems are sufficient for the planning of implant position, and can be used for navigated insertion using tools originally developed for spinal surgery.
描述了在显微外科骨移植后，通过脊柱软件平台将术中锥形束计算机断层扫描（CBCT）与导航系统相结合用于口腔种植体导航植入的方法。术中数据集使用Arcadis Orbic 3D（西门子医疗解决方案公司，德国埃尔兰根）生成，并通过NaviLink接口立即传输到VectorVision(2)导航系统（BrainLAB公司，德国费尔德kirchen）。在两名接受显微外科骨移植进行面中部重建的患者中，使用术中获取的CBCT数据集进行种植体植入规划和导航插入。在这两个病例中，在钻头的引导下成功实现了计划的种植体位置，使两名患者均得以康复。移动系统生成的CBCT数据足以用于种植体位置的规划，并且可以使用最初为脊柱手术开发的工具进行导航插入。
