Schramm A, Wilde F
Mund-, Kiefer- und plastische Gesichtschirurgie, Bundeswehrkrankenhaus Ulm, Akademisches Krankenhaus der Universität Ulm, Oberer Eselsberg 40, 89081 Ulm, Deutschland.
HNO. 2011 Aug;59(8):800-6. doi: 10.1007/s00106-011-2351-7.
Injury to the facial skeleton may result not only in aesthetic but also functional deficits. Computer-assisted surgery promises predictable reconstructive results. In clinical routine the authors use the combination of preoperative planning, intraoperative navigation and intraoperative imaging to treat complex facial trauma. With preoperative planning the intended reconstructive results can be precisely preplanned and guided intraoperatively using navigational surgery. Intraoperative imaging achieves the final intraoperative validation. Using computer-assisted surgery dislocation and malformation of fragments and transplants can be avoided in facial reconstruction. This means reliable quality control of surgical outcome and the number of further surgeries can be reduced in this complex reconstructive surgery.
面部骨骼损伤不仅可能导致美学缺陷，还可能造成功能障碍。计算机辅助手术有望带来可预测的重建效果。在临床实践中，作者采用术前规划、术中导航和术中成像相结合的方法来治疗复杂的面部创伤。通过术前规划，可以精确地预先规划预期的重建效果，并在术中使用导航手术进行引导。术中成像实现了术中的最终验证。在面部重建中，使用计算机辅助手术可以避免碎片和移植体的移位和畸形。这意味着可以对手术结果进行可靠的质量控制，并减少这种复杂重建手术中进一步手术的次数。
