Protocol for Single-Stage Bilateral Temporomandibular Joint Replacement Using Intraoperative Navigation in Patients With Ankylosis

Newman, Marshall F.; Lee, D. Graham; Lecholop, Michael K.

doi:10.1016/j.joms.2018.01.035

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…30 Newman also used CANPS to allow for "real-time" navigation during osteotomy in ankylosis. 29 Other calibrated surgical instruments such as saws or burrs can also be used, but vibrations of the handpiece, and the danger of taking the eyes away from the surgical field to watch a monitor make such instruments inappropriate. Furthermore, the problem with navigating with a saw is that the active tip of the instrument is not a single point but has a more or less wide path, so it is not suitable for direct navigation.…”

Section: Resultsmentioning

confidence: 99%

“…Gui et al in 2014 reported that navigation‐guided lateral gap arthroplasty showed great benefits for accuracy and safety in this potentially complicated procedure 30 . Newman also used CANPS to allow for “real‐time” navigation during osteotomy in ankylosis 29 . CANPS has helped us to perform the arthroplasty gap in temporomandibular joint ankylosis surgery as planned and avoiding lesions to important anatomical structures.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical navigation has been used in temporomandibular ankylosis surgery, thus achieving a more safety and extensive removal of the ankylosed bone toward the skull base ensuring a safety distance. 9 , 13 , 20 , 28 , 29 Gui et al in 2014 reported that navigation‐guided lateral gap arthroplasty showed great benefits for accuracy and safety in this potentially complicated procedure. 30 Newman also used CANPS to allow for “real‐time” navigation during osteotomy in ankylosis.…”

Section: Discussionmentioning

confidence: 99%

“… 30 Newman also used CANPS to allow for “real‐time” navigation during osteotomy in ankylosis. 29 CANPS has helped us to perform the arthroplasty gap in temporomandibular joint ankylosis surgery as planned and avoiding lesions to important anatomical structures.…”

Section: Discussionmentioning

confidence: 99%

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

Ferrer

Heredero

Castaño

et al. 2022

Laryngoscope Investig Oto

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

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

Ferrer

Heredero

Castaño

et al. 2022

Laryngoscope Investig Oto

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“…Facial nerve injury and the close proximity of the middle meningeal artery to the neck of the condyle are the two main obstacles to temporomandibular joint surgery. Newman et al (2018) established a protocol based on the utilization of intermaxillary xation screws to produce accurate and reproducible results using intraoperative navigation during total joint replacement for the correction of bilateral temporomandibular joint ankylosis. They noted that intraoperative navigation not only allows for real-time identi cation of important structures but also helps con rm that no rotation or movement of the mandibular complex is occurring, which is particularly bene cial for the use of custom joints.…”

Section: Maxillomandibular Surgerymentioning

confidence: 99%

Computer-Aided Dynamics Intraoperative Navigation in Oral Medicine: A Review

Jiang

Zhang

et al. 2023

Preprint

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Because the oral and maxillofacial areas are adjacent to important organs such as the brain and the eyes and contain a rich network of nerves and blood vessels, this poses a great challenge for surgery of the oral and maxillofacial areas. Traditional treatment protocols rely excessively on the physician's clinical experience and imagination for preoperative planning and do not provide intuitive and reliable intraoperative guidance to the physician during surgery. With the rapid development of medical imaging technology, computer-aided dynamic intraoperative navigation (CADIN) has been introduced into the field of oral and maxillofacial surgery for its ability to accurately locate key anatomical structures intraoperatively and provide the surgeon with a safe surgical boundary in real time. However, the vast majority of surgeries in oral and maxillofacial surgery are still dominated by traditional surgical methods without intraoperative guidance or computer-assisted static navigation (CASN), and CADIN techniques are not widely used. Therefore, this paper presents a systematic review of the application of CADIN technology in the field of oral and maxillofacial surgery from 2018-2023 by searching the PubMed database, discusses the problems faced in the actual clinical application of CADIN technology in the field of oral and maxillofacial surgery, and proposes solutions to improve the accuracy and application scope of CADIN technology in the future.

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New Technologies and Reconstruction of the Temporomandibular Joint (TMJ)

Sánchez-Jaúregui

Vega

2021

Innovations and New Developments in Craniomaxillofacial Reconstruction

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Protocol for Single-Stage Bilateral Temporomandibular Joint Replacement Using Intraoperative Navigation in Patients With Ankylosis

Cited by 3 publications

References 19 publications

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

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

Computer-Aided Dynamics Intraoperative Navigation in Oral Medicine: A Review

New Technologies and Reconstruction of the Temporomandibular Joint (TMJ)

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