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数字化手术诊断与治疗技术的应用:颅颌面缺损与畸形外科重建的有前途策略。

The application of digital surgical diagnosis and treatment technology: a promising strategy for surgical reconstruction of craniomaxillofacial defect and deformity.

机构信息

The State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, PR China.

出版信息

Med Hypotheses. 2011 Dec;77(6):1004-5. doi: 10.1016/j.mehy.2011.08.034. Epub 2011 Sep 7.

DOI:10.1016/j.mehy.2011.08.034
PMID:21903336
Abstract

The craniomaxillofacial defect and deformity always leads to serious dysfunction in mastication and facial contour damage, significantly reducing patients' quality of life. However, surgical reconstruction of a craniomaxillofacial hard tissue defect or deformity is extremely complex and often does not result in desired facial morphology. Improving the result for patients with craniomaxillofacial defect and deformity remains a challenge for surgeons. Using digital technology for surgical diagnosis and treatment may help solve this problem. Computer-assisted surgical technology and surgical navigation technology are included in the accurate digital diagnosis and treatment system we propose. These technologies will increase the accuracy of the design of the operation plan. In addition, the intraoperative real-time navigating location system controlling the robotic arm or advanced intelligent robot will provide accurate, individualized surgical treatment for patients. Here we propose the hypothesis that a digital surgical diagnosis and treatment technology may provide a new approach for precise surgical reconstruction of complicated craniomaxillofacial defect and deformity. Our hypothesis involves modern digital surgery, a three-dimensional navigation surgery system and modern digital imaging technology, and our key aim is to establish a technological platform for customized digital surgical design and surgical navigation for craniomaxillofacial defect and deformity. If the hypothesis is proven practical, this novel therapeutic approach could improve the result of surgical reconstruction for craniomaxillofacial defect and deformity for many patients.

摘要

颅颌面缺损和畸形总是导致咀嚼功能严重障碍和面部轮廓损伤,极大地降低了患者的生活质量。然而,颅颌面硬组织缺损或畸形的手术重建极其复杂,往往无法达到预期的面部形态。改善颅颌面缺损和畸形患者的治疗效果仍然是外科医生面临的挑战。使用数字技术进行手术诊断和治疗可能有助于解决这个问题。我们提出的精确数字诊断和治疗系统包括计算机辅助手术技术和手术导航技术。这些技术将提高手术计划设计的准确性。此外,术中实时导航定位系统控制机械臂或先进的智能机器人将为患者提供准确的个体化手术治疗。在这里,我们提出假设,即数字手术诊断和治疗技术可能为复杂颅颌面缺损和畸形的精确手术重建提供新的方法。我们的假设涉及现代数字手术、三维导航手术系统和现代数字成像技术,我们的主要目标是为颅颌面缺损和畸形的定制数字手术设计和手术导航建立技术平台。如果假设被证明是可行的,这种新的治疗方法可能会改善许多患者颅颌面缺损和畸形的手术重建效果。

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