Anand Manish, Panwar Shreya
Department of Oral and Maxillofacial Surgery, Meenakshi Ammal Dental College, Chennai, Tamil Nadu, India.
Clin Cosmet Investig Dent. 2021 Apr 15;13:127-139. doi: 10.2147/CCIDE.S299249. eCollection 2021.
Surgeries related to the maxillofacial area deal with an intricate network of anatomical structures. With the complexity of the vital structures, it necessitates a surgical team to respect each anatomical boundary. In the past, there was an exceptionally high number of cases with surgical errors. These errors were not because of flaws in the surgeon's skills or techniques but owing to lack of resources. Visualisation is one of the key factors that determines the precision of any surgical outcome. Advances in surgical planning have led to the introduction of a "Navigation" system that helps surgeons to see more, know more and ultimately do more for their patients. The usefulness of the navigation system in oral surgeries has been indicated by its surgical applications in craniomaxillofacial trauma, orthognathic surgeries, head and neck pathological resections, complex skull base surgeries and surgery involving temporomandibular joint. A vast majority of research literature has suggested remarkable improvement in surgical outcomes under the guidance of 3d planning and navigation. However, with such an inordinate advancement, financial expenses and a gradual learning curve are always a constraining factor in surgical navigation. This article overviews indication of navigation in craniofacial surgeries with a focus on applied aspect, planning and solution to the future problem.
与颌面区域相关的手术涉及错综复杂的解剖结构网络。鉴于重要结构的复杂性,手术团队必须尊重每一个解剖边界。过去,手术失误的病例数量异常之高。这些失误并非由于外科医生的技能或技术缺陷,而是由于资源匮乏。可视化是决定任何手术结果精确度的关键因素之一。手术规划的进步导致了“导航”系统的引入,该系统有助于外科医生为患者看得更多、了解更多,最终做得更多。导航系统在口腔手术中的实用性已通过其在颅颌面创伤、正颌手术、头颈部病理切除术、复杂颅底手术以及涉及颞下颌关节的手术中的应用得到体现。绝大多数研究文献表明,在三维规划和导航的指导下,手术结果有了显著改善。然而,随着如此巨大的进步,财务费用和逐渐的学习曲线始终是手术导航中的一个制约因素。本文概述了颅面外科手术中导航的适应症,重点关注应用方面、规划以及未来问题的解决方案。