Department of Restorative Dentistry, University of Washington School of Dentistry Seattle,98195, WA, USA.
Department of Neurosurgery, Loma Linda University Health Loma Linda, 92354, CA, USA.
Expert Rev Med Devices. 2021 Jul;18(7):669-696. doi: 10.1080/17434440.2021.1886075. Epub 2021 Jul 6.
Computer-assisted surgery (CAS) is a broad surgical methodology that utilizes computer technology to both plan and execute surgical intervention. CAS is widespread in both medicine and dentistry as it allows for minimally invasive and precise surgical procedures. Key innovations in volumetric imaging, virtual surgical planning software, instrument tracking, and robotics have assisted in facilitating the transfer of surgical plans to precise execution of surgical procedures. CAS has long been used in certain medical specialties including neurosurgery, cardiology, orthopedic surgery, otolaryngology, and interventional radiology, and has since expanded to oral and maxillofacial application, particularly for computer-assisted implant surgery.
This review provides an updated overview of the most current research for CAS in medicine and dentistry, with a focus on neurosurgery and dental implant surgery. The MEDLINE electronic database was searched and relevant original and review articles from 2005 to 2020 were included.
Recent literature suggests that CAS performs favorably in both neurosurgical and dental implant applications. Computer-guided surgical navigation is well entrenched as standard of care in neurosurgery. Whereas static computer-assisted implant surgery has become established in dentistry, dynamic computer-assisted navigation is newly poised to trend upward in dental implant surgery.
计算机辅助手术(CAS)是一种广泛的手术方法,利用计算机技术来规划和执行手术干预。CAS 在医学和牙科领域都得到了广泛应用,因为它允许进行微创和精确的手术。容积成像、虚拟手术规划软件、器械跟踪和机器人技术的关键创新,有助于将手术计划准确地转化为手术操作。CAS 长期以来一直用于某些医学专业,包括神经外科、心脏病学、骨科、耳鼻喉科和介入放射学,并且已经扩展到口腔颌面应用,特别是计算机辅助种植手术。
本文综述了目前关于医学和牙科领域中 CAS 的最新研究,重点是神经外科和牙科种植手术。检索了 MEDLINE 电子数据库,并纳入了 2005 年至 2020 年的相关原始和综述文章。
最近的文献表明,CAS 在神经外科和牙科种植应用中表现良好。计算机引导手术导航在神经外科中已被确立为标准护理。虽然静态计算机辅助种植手术在牙科中已经确立,但是动态计算机辅助导航在牙科种植手术中也有上升的趋势。