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计算机辅助颌面外科手术:最新进展

Computer-aided maxillofacial surgery: an update.

作者信息

Jayaratne Yasas S N, Zwahlen Roger A, Lo John, Tam Stephen C, Cheung Lim K

机构信息

Discipline of Oral & Maxillofacial Surgery, Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR.

出版信息

Surg Innov. 2010 Sep;17(3):217-25. doi: 10.1177/1553350610371626. Epub 2010 May 31.

DOI:10.1177/1553350610371626
PMID:20513723
Abstract

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.

摘要

引言

技术的最新发展给医学和外科手术带来了变革。本文旨在介绍计算机辅助颌面外科的当前趋势,并通过临床病例说明这些进展。

方法

在PubMed数据库中使用关键词“颌面”和“计算机辅助手术”搜索过去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,大多数聚焦于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。立体摄影可生成具有自然颜色和纹理的三维面部照片,而CBCT能生成出色的硬组织图像,且辐射比传统CT扫描低得多。借助专门软件,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。预先规划的治疗可通过术中手术导航精确执行。

结论

随着计算机辅助颌面外科从研究走向临床应用,其具有巨大的潜力。

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