Department of Applied Pharmacy and Bioengineering, Medical University of Warsaw, Warsaw, Poland.
Department of Plastic Surgery, Prof. W. Orłowski Memorial Hospital, Medical Centre of Postgraduate Education, Warsaw, Poland.
Int J Med Robot. 2023 Jun;19(3):e2499. doi: 10.1002/rcs.2499. Epub 2023 Feb 1.
PURPOSE: The work presents outcomes of simulated maxillofacial skeleton osteotomies supported with cutting guides or one of two AR-based intraoperative navigation systems. MATERIAL AND METHODS: The series of osteotomies supported with a cutting guide, simple AR (sAR) or navigated AR (nAR) module were carried out on 15 (five per each method) skull models according to the virtual surgical plan (VSP). Each method was used to support 40 osteotomies involving the upper jaw and 40 involving the orbital region (16 osteotomies on each model). Postoperative computed tomography scans were fused with the VSP to analyse angular deviations from the planned cutting trajectory (°) and the deviations of labelled control points (mm). RESULTS: Guides provided the highest accuracy, with a mean osteotomy angular deviation of 3.73 ± 2.94° and a mean control point deviation of 1.30 ± 0.73 mm. Mean angular deviations for the sAR- and nAR-assisted osteotomies were 5.93 ± 5.12° and 6.75 ± 5.33°, and mean control point deviations amounted to 1.86 ± 0.88 mm and 1.97 ± 0.70 mm.
目的:本研究展示了使用切割导板或两种基于增强现实(AR)的术中导航系统之一辅助的颌面骨骼截骨术的结果。
材料与方法:根据虚拟手术计划(VSP),在 15 个颅骨模型(每个方法 5 个)上进行了使用切割导板、简单 AR(sAR)或导航 AR(nAR)模块辅助的一系列截骨术。每种方法用于支持 40 例涉及上颌骨的截骨术和 40 例涉及眼眶区域的截骨术(每个模型各 16 例)。术后计算机断层扫描与 VSP 融合,以分析与计划切割轨迹的角度偏差(°)和标记控制点的偏差(mm)。
结果:导板提供了最高的准确性,平均截骨角度偏差为 3.73±2.94°,平均控制点偏差为 1.30±0.73mm。sAR 和 nAR 辅助截骨术的平均角度偏差分别为 5.93±5.12°和 6.75±5.33°,平均控制点偏差分别为 1.86±0.88mm 和 1.97±0.70mm。
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