A Novel System for Navigation–and Robot-Assisted Craniofacial Surgery

Gui, Honglian; Zhang, Shilei; Luan, Nan; Lin, Yi; Shen, Steve Guofang; Bautista, Joy S.

doi:10.1097/scs.0000000000002180

Cited by 19 publications

(12 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the system was only studied for model experiments, and no further research and development was conducted for the robotic arm body and control system, which were mainly combined with the navigation system for system integration, and no further research was reported subsequently. 47 In 2008, Xia and colleagues reported a skull base drilling robot with an integrated Stealthstation navigation system, a 6-dimensional force sensor NeuroMate neurosurgical robot, and 3-dimensional display software that can operate in a safe space with virtual constraints on medical imaging data. The system was used for drilling experiments in the posterior external ear hole of a cadaver head, and postoperative computed tomography (CT) showed that it partially exceeded the falsely constrained space by 1 to 2 mm, up to 3 mm, but had good ergonomic results, such as stability of the drill bit.…”

Section: History Of Craniomaxillofacial Robotic-assisted Surgerymentioning

confidence: 99%

Advances in Robot-Assisted Surgery for Facial Bone Contouring Surgery

Lin

Zhao

Han

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Since our team reported the application of robot-assisted surgery in facial contouring surgery in 2020, further clinical trials with large samples have been conducted. This paper will report the interim results of a single-center, large-sample randomized controlled trial of the first robot developed by our team for facial contouring surgery. Meanwhile, this research field will be systematically reviewed and prospected.

show abstract

Section: History Of Craniomaxillofacial Robotic-assisted Surgerymentioning

confidence: 99%

Advances in Robot-Assisted Surgery for Facial Bone Contouring Surgery

Lin

Zhao

Han

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…Moreover, osteotomy for RBG includes cutting in various directions using various instruments [5]. Long-bone osteotomy, such as for a fibula free flap or Le Fort I osteotomy have better accessibility for the robot than the osteotomy for RBG, and are simple one-direction osteotomy examples [6,7]. Therefore, we needed to evaluate RBG osteotomy accuracy in various directions and categories.…”

Section: Introductionmentioning

confidence: 99%

Development of Autonomous Robot Osteotomy for Mandibular Ramal Bone Harvest and Evaluation of Its Accuracy: A Phantom Mandible-Based Trial

2021

View full text Add to dashboard Cite

An autonomous robot osteotomy using direct coordinate determination for registering was developed, and the accuracy of the designed osteotomy along the preprogrammed plan was evaluated. Furthermore, the accuracy of the robotic and manual osteotomy was compared in regard to cut position, length, angle and depth. A light-weight robot was used in this study, with an electric gripper. Twenty stone models were used to evaluate accuracy of osteotomy and sixteen mandible phantoms were used to simulate the ramal bone harvest osteotomy for comparison between robotic and manual surgery. In the stone model experiment, the absolute mean values for osteotomy errors for position, length, angle, and depth were 0.93 ± 0.45 mm, 0.81 ± 0.34 mm, 1.26 ± 1.35°, and 1.19 ± 0.73 mm, respectively. In the mandible phantom model experiment, the robotic surgery showed lower errors for position, length and angle (0.70 ± 0.34 mm, 0.35 ± 0.19 mm and 1.32 ± 0.96°) and somewhat higher errors for depth (0.59 ± 0.46 mm) than manual surgery (1.83 ± 0.65 mm, 0.62 ± 0.37 mm, 5.96 ± 3.47° and 0.40 ± 0.31 mm). This study may provide a basis for developing clinical application of an autonomous robot osteotomy.

show abstract

“…5,6 Previous studies have demonstrated the effectiveness, precision, and safety of robot-assisted craniomaxillofacial surgery. [7][8][9] However, the main application of optical navigation systems, which are highly restricted by light, cannot meet the demands of mandibular distraction osteogenesis via an intraoral incisional approach in children with HFM. 10 Ensuring accurate registration and dynamic, intraoperative tracking of the robotic coordinates and target position is a major barrier in the clinical application of robotic surgery.…”

mentioning

confidence: 99%

Feasibility of a Robot-Assisted Surgical Navigation System for Mandibular Distraction Osteogenesis in Hemifacial Microsomia: A Model Experiment

Kim

Zhang

Sun

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

This study aimed to investigate the feasibility and accuracy of osteotomy and distractor placement using a robotic navigation system in a model surgical experiment of mandibular distraction osteogenesis for hemifacial microsomia. Imaging data from 5 patients with Pruzansky-Kaban type II (IIa: 4; IIb: 1) mandibular deformities were used to print 3D models for simulated mandibular distraction osteogenesis. In the experimental group, a robot-assisted surgical navigation system was used to perform the surgery under robotic guidance following registration, according to the preoperative design. Conventional surgery was performed in the control group, in which the operation was based on intraoperative estimations of the preoperative design by experienced surgeons. The accuracies of the osteotomy and distractor placement were assessed based on distance and angular error. Osteotomy accuracy was higher in the experimental group than in the control group, and the distance error (t=9.311, P<0.001) and angular error (t=5.385, P=0.001) were significantly reduced. The accuracy of distractor placement was also significantly higher in the experimental group, while the distance error (t=3.048, P=0.016) and angular error (t=3.524, P=0.024) were significantly reduced. The present results highlight the feasibility of robot-assisted distraction osteogenesis combined with electromagnetic navigation for improved surgical precision in clinical settings.

show abstract

A Novel System for Navigation–and Robot-Assisted Craniofacial Surgery

Abstract: The technical method of navigation-guided robotics system, allowing the operator to practice the virtual planning procedure through navigation system as well as perform the actual operation thru the robotic arm, could be regarded as a valuable option for benefiting craniofacial surgeons.

Cited by 19 publications

References 16 publications

Advances in Robot-Assisted Surgery for Facial Bone Contouring Surgery

Advances in Robot-Assisted Surgery for Facial Bone Contouring Surgery

Development of Autonomous Robot Osteotomy for Mandibular Ramal Bone Harvest and Evaluation of Its Accuracy: A Phantom Mandible-Based Trial

Feasibility of a Robot-Assisted Surgical Navigation System for Mandibular Distraction Osteogenesis in Hemifacial Microsomia: A Model Experiment

Contact Info

Product

Resources

About