Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Oral Dis. 2021 Jan;27(1):14-20. doi: 10.1111/odi.13631. Epub 2020 Sep 28.
In case of surgical removal of oral squamous cell carcinomas, a resection of mandibular bone is frequently part of the treatment. Nowadays, such resections frequently include the application of 3D virtual surgical planning (VSP) and guided surgery techniques. In this paper, current methods for 3D VSP leads for optimisation of the workflow, and patient-specific application of guides and implants are reviewed.
Current methods for 3D VSP enable multi-modality fusion of images. This fusion of images is not restricted to a specific software package or workflow. New strategies for 3D VSP in Oral and Maxillofacial Surgery include finite element analysis, deep learning and advanced augmented reality techniques. These strategies aim to improve the treatment in terms of accuracy, predictability and safety.
Application of the discussed novel technologies and strategies will improve the accuracy and safety of mandibular resection and reconstruction planning. Accurate, easy-to-use, safe and efficient three-dimensional VSP can be applied for every patient with malignancies needing resection of the mandible.
在口腔鳞状细胞癌的手术切除中，下颌骨切除通常是治疗的一部分。如今，此类切除通常包括应用 3D 虚拟手术规划 (VSP) 和引导手术技术。本文回顾了用于优化工作流程和患者特异性引导和植入物应用的当前 3D VSP 导板方法。
目前的 3D VSP 方法可实现多模态图像融合。这种图像融合不受特定软件包或工作流程的限制。口腔颌面外科中 3D VSP 的新策略包括有限元分析、深度学习和先进的增强现实技术。这些策略旨在提高治疗的准确性、可预测性和安全性。
应用所讨论的新技术和策略将提高下颌骨切除和重建规划的准确性和安全性。准确、易用、安全且高效的 3D VSP 可应用于每个需要切除下颌骨的恶性肿瘤患者。
