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Evaluation of angulation and distance deviation for robot-guided laser osteotomy - a follow-up study on digital high-tech procedures.

作者信息

Msallem Bilal, Veronesi Lara, Halbeisen Florian Samuel, Beyer Michel, Dragu Adrian, Thieringer Florian Markus

机构信息

UniversityCenter for Orthopedics, Trauma and Plastic Surgery, Faculty of Medicine and University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.

Medical Additive Manufacturing Research Group (Swiss MAM), Department of Biomedical Engineering, University of Basel, Allschwil, Switzerland.

出版信息

Front Robot AI. 2025 Apr 16;12:1559483. doi: 10.3389/frobt.2025.1559483. eCollection 2025.


DOI:10.3389/frobt.2025.1559483
PMID:40309082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12040628/
Abstract

BACKGROUND AND OBJECTIVE: Conventional osteotomy tools, including drills and saws, have been associated with several limitations, such as restricted cutting geometry and the risk of heat-induced necrosis, which affects bone healing. Laser-based osteotomy systems have emerged as a promising solution for these constraints. This study aims to evaluate the accuracy of robot-guided laser osteotomy compared to conventional cutting-guided osteotomy based on surface scanning. MATERIALS AND METHODS: Ten 3D printed mandibular models were used to perform segmentectomy. Five models were treated with conventional osteotomies employing a cutting-guided saw technique, while the remaining five were subjected to laser osteotomy. Initially conducted using root mean square (RMS) values, the analysis has been expanded to reevaluate the angulation and distance deviation outcomes. RESULTS: Precision analysis of the upper cutting plane revealed a statistically significant difference in distance deviation between the laser osteotomy group (0.48 mm) and the conventional osteotomy group (0.78 mm). In terms of angulation deviation, the laser osteotomy group exhibited, both in the upper and lower cutting planes, statistically significant results (2.19° and 2.86°) compared to the osteotomy group (5.15° and 8.12°). CONCLUSION: Based on the observed angulation and distance deviations, it can be concluded that robot-guided laser systems achieve significantly higher accuracy in osteotomies than conventional cutting-guided systems currently available. Consistent with the findings of a prior study, these results confirm that robot-guided laser osteotomy provides substantial advantages, facilitating the seamless integration of precise virtual preoperative planning with exact execution in the human body.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/4aecb5f30d96/frobt-12-1559483-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/1996fd38b711/frobt-12-1559483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/266de0063fff/frobt-12-1559483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/145c27be096d/frobt-12-1559483-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/41473408898a/frobt-12-1559483-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/d0432910ae85/frobt-12-1559483-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/7eb7cf201464/frobt-12-1559483-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/16b83a6ffd7e/frobt-12-1559483-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/6b620dac7a41/frobt-12-1559483-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/4aecb5f30d96/frobt-12-1559483-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/1996fd38b711/frobt-12-1559483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/266de0063fff/frobt-12-1559483-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/145c27be096d/frobt-12-1559483-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/41473408898a/frobt-12-1559483-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/d0432910ae85/frobt-12-1559483-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/7eb7cf201464/frobt-12-1559483-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/16b83a6ffd7e/frobt-12-1559483-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/6b620dac7a41/frobt-12-1559483-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db3/12040628/4aecb5f30d96/frobt-12-1559483-g013.jpg

相似文献

[1]
Evaluation of angulation and distance deviation for robot-guided laser osteotomy - a follow-up study on digital high-tech procedures.

Front Robot AI. 2025-4-16

[2]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Performance and safety evaluation of a cold ablation robot-guided laser osteotome (CARLO) in 28 midface osteotomies.

Sci Rep. 2024-11-7

[2]
Dimensional Accuracy in 3D Printed Medical Models: A Follow-Up Study on SLA and SLS Technology.

J Clin Med. 2024-9-30

[3]
Comparison of accuracy, revision, and perioperative outcomes in robot-assisted spine surgeries: systematic review and meta-analysis.

J Neurosurg Spine. 2024-7-5

[4]
Evaluation of the Dimensional Accuracy of Robot-Guided Laser Osteotomy in Reconstruction with Patient-Specific Implants-An Accuracy Study of Digital High-Tech Procedures.

J Clin Med. 2024-6-19

[5]
Cutting guides in mandibular tumor ablation: Are we as accurate as we think?

Saudi Dent J. 2024-2

[6]
Tissue changes and tissue reactivity following osteotomy by a conventional rotary device, an ultrasonic unit, and an Er: YAG laser - A comparative study in humans.

J Stomatol Oral Maxillofac Surg. 2024-10

[7]
Geometric Cuts by an Autonomous Laser Osteotome Increase Stability in Mandibular Reconstruction With Free Fibula Grafts: A Cadaver Study.

J Oral Maxillofac Surg. 2024-2

[8]
Conventional drilling versus ultrasound and laser osteotomy in mandibular third molar surgery: A comparative study.

Lasers Surg Med. 2023-12

[9]
Robotic calvarial bone sampling.

J Craniomaxillofac Surg. 2023-10

[10]
Robot-guided osteotomy in fibula free flap mandibular reconstruction: a preclinical study.

Int J Oral Maxillofac Surg. 2024-4

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