Computer‐assisted and navigated piezoelectric surgery: A new technology to improve precision and surgical safety in craniomaxillofacial surgery

Abstract

Background Computer‐assisted navigated piezoelectric surgery (CANPS) is a surgical technique that combines the surgical navigation with a piezoelectric device. This association multiplies the advantages of both technologies, taking the best of each one providing a synergistic association. Objective To describe and assess the indications, advantages, disadvantages, and complications of this association of surgical techniques. Methods CANPS was used in 32 patients. The clinical diagnosis was facial trauma, tumors, orthognathic surgeries, temporomandibular joint ankylosis, pathology of the frontal sinus, and alveolar distraction. Nineteen patients were men and 13 were women. Planning software iPlan 3.05 of Brainlab, and Elements of Brainlab were used for planning and the Kolibri and Kurve of Brainlab for surgical navigation. The piezoelectric device used was a “Vercelotti” type in all patients. Results CAPNS could be performed successfully in all cases without complications and reduced the surgeon's uncertainty during the osteotomies. There is continuous control of the position of the surgical instrument. The use of the navigated piezoelectric device allowed the surgeon's uncertainty to be reduced during the performance of the osteotomies in depth, in poorly visible areas, with little access or reduced visibility. It also increases the safety of bone resections near important anatomical structures. Conclusions CANPS combines the advantages of piezoelectric surgery and navigation. CANPS affords real‐time control of the position of the cutting tip and allows semiburied approaches. CANPS allows surgery to be precise, safer, and minimally invasive.

15-Year Experience in Maxillofacial Surgical Navigation with Tracked Instruments

“…The treatments encompassed a wide range of disciplines, including oncology, traumatology, and orthognathic surgery. The results confirmed a decrease in surgical time and improvements in procedural safety, allowing three-dimensional control over tumour resection or osteotomy depth [27].…”

From Planning to Execution: The Advantage of Real-time Dynamic Navigation in the Extraction of Impacted Mandibular Third Molars

“…The extraction of lower third molars is one of the most common outpatient surgeries in oral and maxillofacial surgery, especially since the close relationship between impacted lower third molars and the inferior alveolar nerve makes the extraction more challenging, time-consuming, and prone to complications [24,25] . The di culty of extraction increases with the depth of the impacted teeth, and correspondingly, the risk of nerve damage also increases [26,27] .…”

Exploring the Practical Applications of Artificial Intelligence, Deep Learning, and Machine Learning in Maxillofacial Surgery: A Comprehensive Analysis of Published Works

“…Since then surgical navigation has become essential tool for surgical procedures such as trauma or oncological and reconstructive cases. [23][24][25][26] Theoretical overview exploring surgical navigation, presenting concepts throughout the history and its use in clinical setting has been published by Novelli et al affirming that surgical navigation is an effective instrument to use for improvement in oral surgery. [27] Computing speed advancements, exponential increase in data load, and the regular routine data collection have expedited the rapid progress of AI in clinical healthcare industry.…”

“…Combination of at-the-time monitoring of the device with monitoring and navigation allows surgeon to proceed without necessity of the direct observation. [33] Not only in oncology, radiology, TMD analysis but also in aesthetic surgery AI might have big potential. By helping the surgeon with proper diagnosis, analysis of soft and hard tissues and big data collection about surgical possibilities, AI might be able to predict surgical result, helping surgeon with pre and perioperative surgical decisions.…”