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实时导航辅助正颌外科手术。

Real-time navigation-assisted orthognathic surgery.

作者信息

Shim Byung Kwan, Shin Ho Seong, Nam Seung Min, Kim Yong Bae

机构信息

Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea.

出版信息

J Craniofac Surg. 2013 Jan;24(1):221-5. doi: 10.1097/SCS.0b013e318267bb76.

DOI:10.1097/SCS.0b013e318267bb76
PMID:23348289
Abstract

BACKGROUND

One limitation of orthognathic surgery is the narrow surgical field, which makes it difficult to view the operative site directly. Thus, many perioperative complications can occur. In this study, we evaluated the usefulness of computer-aided navigation techniques in orthognathic surgery.

METHODS

We enrolled 10 patients (3 men and 7 women) with facial deformities who were treated between July 2010 and February 2011. A Le Fort I osteotomy, sagittal split ramus osteotomy, and reduction malarplasty were performed with guided navigation.

RESULTS

All 10 patients were treated successfully using the computer-assisted navigation surgery. Using the navigation system, instruments were visualized on a monitor in real time and all maneuvers were performed safely.

CONCLUSIONS

Orthognathic surgery, such as a Le Fort 1 osteotomy, sagittal split ramus osteotomy, and reduction malarplasty, can be performed safely under the guidance of a surgical navigation system. Navigation systems enable surgeons to carry out preoperative plans accurately without injuring important anatomic structures because the positions of the instruments can be visualized on site in real time.

摘要

背景

正颌外科手术的一个局限性是手术视野狭窄,这使得直接观察手术部位变得困难。因此,可能会出现许多围手术期并发症。在本研究中,我们评估了计算机辅助导航技术在正颌外科手术中的实用性。

方法

我们纳入了2010年7月至2011年2月间接受治疗的10例面部畸形患者(3例男性,7例女性)。在引导导航下进行了Le Fort I型截骨术、下颌升支矢状劈开截骨术和颧骨缩小整形术。

结果

所有10例患者均成功接受了计算机辅助导航手术。使用导航系统,器械在监视器上实时可视化,所有操作均安全进行。

结论

诸如Le Fort 1型截骨术、下颌升支矢状劈开截骨术和颧骨缩小整形术等正颌外科手术可以在手术导航系统的引导下安全进行。导航系统使外科医生能够准确执行术前计划,而不会损伤重要的解剖结构,因为器械的位置可以在现场实时可视化。

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