Accuracy of virtual planning and intraoperative navigation in zygomaticomaxillary complex fractures: A systematic review

Dubron, Kathia; Camp, Philippe Van; Jacobs, Reinhilde; Politis, Constantinus; Shaheen, Eman

doi:10.1016/j.jormas.2022.07.003

Cited by 9 publications

(8 citation statements)

References 29 publications

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“…In general, the precise positioning of the implant depends mostly on the surgeon’s expertise. Nowadays, virtual planning and intraoperative imaging or navigation are new tools to optimize the precision of implant positioning [ 6 , 25 , 26 ]. In the future, extended reality may play a role in intraoperative positioning, optimize accuracy, and reduce operative costs.…”

Section: Discussionmentioning

confidence: 99%

“…However, precise repositioning or reconstruction of displaced fracture parts can be challenging because of the lack of direct visualization during the operation. New technologies such as virtual surgical planning, virtual reality (VR), augmented reality (AR), patient-specific implants (PSIs), and intraoperative navigation can enhance optimal complex orbital reconstructions [ 5 , 6 ]. Virtual reality (VR) refers to the virtual environment created to assess the maxillofacial anatomy for the diagnosis, planning and surgical simulation of these complex anatomical regions [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Augmented and Virtual Reality for Preoperative Trauma Planning, Focusing on Orbital Reconstructions: A Systematic Review

Dubron

Verbist

Jacobs

et al. 2023

JCM

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Background: This systematic review summarizes recent literature on the use of extended reality, including augmented reality (AR), mixed reality (MR), and virtual reality (VR), in preoperative planning for orbital fractures. Methods: A systematic search was conducted in PubMed, Embase, Web of Science and Cochrane on 6 April 2023. The included studies compared extended reality with conventional planning techniques, focusing on computer-aided surgical simulation based on Computed Tomography data, patient-specific implants (PSIs), fracture reconstruction of the orbital complex, and the use of extended reality. Outcomes analyzed were technical accuracy, planning time, operative time, complications, total cost, and educational benefits. Results: A total of 6381 articles were identified. Four articles discussed the educational use of VR, while one clinical prospective study examined AR for assisting orbital fracture management. Conclusion: AR was demonstrated to ameliorate the accuracy and precision of the incision and enable the better identification of deep anatomical tissues in real time. Consequently, intraoperative imaging enhancement helps to guide the orientation of the orbital reconstruction plate and better visualize the precise positioning and fixation of the PSI of the fractured orbital walls. However, the technical accuracy of 2–3 mm should be considered. VR-based educational tools provided better visualization and understanding of craniofacial trauma compared to conventional 2- or 3-dimensional images.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Augmented and Virtual Reality for Preoperative Trauma Planning, Focusing on Orbital Reconstructions: A Systematic Review

Dubron

Verbist

Jacobs

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

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“…In particular, in maxillo-facial surgery navigation was used for the first time in 1994 for the removal of a tumor of the skull base and then has become, over the last 20 years, an aid to surgeons in complex cases of traumatic injuries as well as oncological demolition and reconstruction. Actually, articles on the use of surgical navigation for the management of complex fractures of the facial skeleton are increasingly widespread in scientific literature, with particular attention paid to the orbitozygomatic-maxillary complex [6][7][8], as well as for reconstruction following oncological surgery, both for the maxilla and the mandible [9,10]. The use of this technology, in fact, makes it possible to considerably increase the accuracy of the interventions, thus improving the surgical outcomes, especially if associated with new techniques, such as piezo-electric surgery [11].…”

Section: Introductionmentioning

confidence: 99%

Introduction to Surgical Navigation in Oral Surgery: A Case-Series

Novelli

Moretti

Meazzini

et al. 2023

Oral

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The application of surgical navigation in oral and maxillo-facial surgery has been increasing over time. In fact, computer-assisted surgery provides real-time, precise, and accurate position and guidance during surgery. The purpose of our work is to introduce the evolution of surgical navigation in recent decades, describe some technical aspects of this technology, explore new possibilities of application of surgical navigation in oral surgery, and validate the accuracy of computer-assisted surgery. We included four patients in our sample who underwent virtual planning on the cone beam CT data set and surgical navigation using non-invasive fiducial markers. The first patient presented a dislocated orthodontic arch in the soft tissues of the cheek, while the other patients presented supernumerary and impacted dental elements. Among them, two patients were affected by craniofacial synostosis. We evaluated the accuracy of computer-assisted surgery, calculating the discrepancy between the real and virtual target. In all cases, the target registration error was less than or equal to 1 mm. We can affirm that surgical navigation is a valid tool to enhance oral surgery, guaranteeing an undoubted advantage in terms of the reliability and predictability of the results, especially in complex cases.

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“…As stated by the authors, a textbook classification of zygomatic fractures has not yet been established. Recent systematic reviews have highlighted the existence of considerable variation in classifications, outcome definitions and data collection; therefore, there is an urgent need for standardization to provide high-quality data [ 2 ]. In particular, no consensus exists regarding the treatment strategy or the best surgical approaches, including the number and modality of open-access reductions and internal fixations.…”

mentioning

confidence: 99%

Comment on “Proposal for a modified classification of isolated zygomatic arch fractures”

Frosolini¹,

Benedetti²,

Gennaro³

et al. 2023

Arch Craniofac Surg

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Accuracy of virtual planning and intraoperative navigation in zygomaticomaxillary complex fractures: A systematic review

Cited by 9 publications

References 29 publications

Augmented and Virtual Reality for Preoperative Trauma Planning, Focusing on Orbital Reconstructions: A Systematic Review

Augmented and Virtual Reality for Preoperative Trauma Planning, Focusing on Orbital Reconstructions: A Systematic Review

Introduction to Surgical Navigation in Oral Surgery: A Case-Series

Comment on “Proposal for a modified classification of isolated zygomatic arch fractures”

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