A review of computer-aided oral and maxillofacial surgery: planning, simulation and navigation

Chen, Xiaojun; Xu, Liang; Sun, Yiting; Politis, Constantinus

doi:10.1080/17434440.2016.1243054

Cited by 39 publications

(28 citation statements)

References 60 publications

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“…Surgery itself has increasingly become complex and miniaturized with the advent of laparoscopic surgery, robotic surgery and other forms of minimally invasive surgery, in order to create smaller wounds, reduce post-operative pain and decrease wound healing time. At the same time, computer assisted surgery has been implemented in various surgical disciplines, such as orthopedic surgery (1), stereotactic neurosurgery (2), virtual reality and augmented reality in plastic surgery (3) and surgical navigation in oral and maxillofacial surgery (4,5). There is also increasing discussion regarding the use of artificial intelligence in medicine (6).…”

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confidence: 99%

The use of 3D printing in cardiac surgery

Ong

Hibino

2017

J. Thorac. Dis.

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confidence: 99%

The use of 3D printing in cardiac surgery

Ong

Hibino

2017

J. Thorac. Dis.

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“…Computer-aided innovations have become routine practice in oral and maxillofacial surgery teaching [ 23 , 24 ]. To the best of our knowledge, no study has evaluated the contribution of navigation devices for skill development.…”

Section: Discussionmentioning

confidence: 99%

Computer-assisted teaching of bilateral sagittal split osteotomy: Learning curve for condylar positioning

Savoldelli¹,

Chamorey

Bettega

2018

PLoS ONE

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Bilateral sagittal split osteotomy (BSSO) is a widely-performed procedure in orthognathic surgery for the correction of dentofacial deformity. Condylar positioning is a critical step during BSSO to maximize functional and morphological results. The unsuitable positioning of condyles represents one of the causative mechanisms that may induce temporomandibular joint noxious effects after BSSO. Repositioning devices can assist surgeons in maintaining the preoperative condylar position; however, empirical repositioning methods based on experience gained are still commonly used. Trainee learning curves are difficult to assess. The aim of this study was to evaluate the relevance of computer-assisted surgery in the acquisition of condylar positioning skills. Forty-eight patients underwent BSSO performed by six maxillofacial trainees (four junior residents and two senior experienced residents). A condyle positioning system (CPS) was used by a senior surgeon to record a condylar position score during the procedure. Firstly, scores were recorded when the trainee manually positioned the condyle without access to the CPS score (phase 1) and then when the trainee positioned the condyle and performed osteosynthesis with visual access to the CPS score (phase 2). Six parameters describing condylar three-dimensional motions were assessed: translational motion from top to bottom (TB), back to front (BF), and left to right (LR), axial rotation (AR), sagittal rotation (SR), frontal rotation (FR), and a total score (TS). There were no significant differences between junior and senior residents in condyle positioning without access to the CPS. Condyles were significantly better positioned during phase 2 with access to the CPS (p<0.001). Over time, use of the CPS (phase 2) produced significantly quicker improvements in scores (p = 0.042). For those teaching surgeries to trainees, computer-assisted devices can potentially result in more rapid learning curves than traditional “observations-imitation” models. Use of a CPS by trainees facilitated condylar repositioning that resulted in an accurate occlusal result and avoidance of adverse effects on the temporomandibular joint.

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“…When performing the OMS, the surgeon has a very narrow view through the intraoral incision or mouth, whose vision is blocked by the skin and blurred by the blood. The surgeon is not able to fully observe the operation area, which makes OMS be a highly challenging operation . The second problem is manual incapability.…”

Section: Introductionmentioning

confidence: 99%

“…The surgeon is not able to fully observe the operation area, which makes OMS be a highly challenging operation. 3 The second problem is manual incapability. Typical OMS may last for 8 hours or even longer, which is really fatiguing for the surgeon.…”

Section: Introductionmentioning

confidence: 99%

Development and preliminary evaluation of an autonomous surgical system for oral and maxillofacial surgery

Kobayashi

Wang

et al. 2019

Robotics Computer Surgery

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Background Human‐related factors affect the accuracy and safety of the oral and maxillofacial surgery (OMS). This study proposed an autonomous surgical system aiming to conduct the OMS under the assistance and surveillance of the surgeon. Methods A markerless navigation module and a compact OMS robot were seamlessly integrated into this system. The specifications of each module and the working concept of the system were elaborated in this paper. A drilling experiment was conducted on five 3D‐printed mandible models to test the pose detecting capability and evaluate the operational performance. Results The experiment showed that this system could successfully guide the robot finishing the operation regardless of the mandible pose. The accuracy of software and hardware are acceptable and potential performance improvement can be achieved in positioning accuracy. Conclusion This system proposed a novel concept and a practical solution to decrease the human‐related factors on the OMS, which may change the role of the surgeon in the future operating room and finally benefit the outcomes of OMS.

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A review of computer-aided oral and maxillofacial surgery: planning, simulation and navigation

Cited by 39 publications

References 60 publications

The use of 3D printing in cardiac surgery

The use of 3D printing in cardiac surgery

Computer-assisted teaching of bilateral sagittal split osteotomy: Learning curve for condylar positioning

Development and preliminary evaluation of an autonomous surgical system for oral and maxillofacial surgery

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