Alkhayatt Nourah M, Alzahrani Hadeel H, Ahmed Suhael, Alotaibi Bassam M, Alsaggaf Rayan M, ALAlmuaysh Abdulelah M, Alomair Abdulrahman A
College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
College of Dentistry, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Saudi Dent J. 2024 Mar;36(3):387-394. doi: 10.1016/j.sdentj.2023.12.002. Epub 2023 Dec 10.
The term "navigation" describes a device that can pinpoint critical anatomical features, the most direct path to the target, and the optimal surgical orientation. This study aimed to conduct a comprehensive literature search on computer-assisted navigation for use in oral and maxillofacial surgery.
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, relevant studies were retrieved from five electronic databases: Medline, Web of Science, PubMed, Google Scholar, and Saudi Digital Library (SDL). The central question was, "Does the computer-assisted navigation system improve the outcome of surgical procedures in the oral and maxillofacial region?" The Cochrane Risk of Bias 2 was used to determine the various types of bias.
Post-traumatic midfacial reconstruction is one of the many fields that have benefited from the use of computer-assisted navigation because of its reliability. It can also be used to extricate difficult foreign entities from the operative zone. Locating critical anatomical components, communicating the surgical plan to the patient, and verifying surgical success can improve the function and appearance of patients with dentofacial abnormalities. In addition, it decreases the surgical error margin and duration.
Computer-assisted navigation is promising in surgical practice. The accuracy of surgery can be significantly enhanced by first planning the process in a virtual environment and then performing it under close supervision in real time. In addition, the time required for preoperative planning and surgery can be reduced by creating and improving software programs.
“导航”一词描述的是一种能够精确确定关键解剖特征、通往目标的最直接路径以及最佳手术方向的设备。本研究旨在对口腔颌面外科中使用的计算机辅助导航进行全面的文献检索。
按照系统评价和Meta分析的首选报告项目（PRISMA）声明，从五个电子数据库中检索相关研究：Medline、科学网、PubMed、谷歌学术和沙特数字图书馆（SDL）。核心问题是：“计算机辅助导航系统是否能改善口腔颌面部手术的效果？”采用Cochrane偏倚风险2来确定各种类型的偏倚。
创伤后面中部重建是受益于计算机辅助导航应用的众多领域之一，因其可靠性。它还可用于从手术区域取出困难的异物。确定关键解剖结构、向患者传达手术计划以及验证手术成功可改善牙颌面畸形患者的功能和外观。此外，它还能减少手术误差范围和手术时间。
计算机辅助导航在手术实践中很有前景。通过首先在虚拟环境中规划手术过程，然后在实时密切监督下进行手术，可以显著提高手术的准确性。此外，通过创建和改进软件程序，可以减少术前规划和手术所需的时间。
