The ISG viewing wand: an application to atlanto-axial cervical surgery using the Le Fort I maxillary osteotomy

Dyer, Peter; Patel, Nitin R.; Pell, G.; Cummins, Brian H.; Sandeman, D. R.

doi:10.1016/0266-4356(95)90138-8

Cited by 22 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This allowed the tip of an instrument to be mapped dynamically, in computerized tomography images, to the location corresponding to the point of interest. In 1992, an Ontario-based team used the first surgical navigation unit for neurosurgery (21,50). This frameless system, called the 'Viewing Wand', was developed as an adjunct to preoperative computerized tomography, magnetic resonance imaging and positron emission tomography, for surgical planning before, and navigation during, the operation.…”

mentioning

confidence: 99%

“…In comparison with stereotaxic surgery, the main advantage of the Viewing Wand technique was that neither constant intra-operative scanning nor the fixation of a cumbersome frame to a patient's head was necessary. The primary clinical benefits of the Viewing Wand were the significantly improved surgical navigation and clinical safety for the patient during the surgical intervention itself (21). Also, the localization and size of the incision, craniotomy and corticotomy, as well as the extent of the surgical resection, benefited from the use of this surgical approach.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Current state of the art of computer‐guided implant surgery

D’Haese¹,

Ackhurst²,

Wismeijer³

et al. 2016

Periodontology 2000

365

285

View full text Add to dashboard Cite

The invention of computerized axial tomography (now known as computerized tomography) and developments of interactive software to allow virtual planning, with the aim to guide the surgery precisely toward a specific target, has dramatically improved general, as well as oral, surgery. Virtual dental implant planning allows for a prosthetically driven approach, resulting in the best possible design of the prosthesis, better esthetics, optimized occlusion and loading. This approach has also changed the surgical paradigm of using extensive flaps to obtain a proper view of the surgical area because flapless implant surgery, with or without immediate loading, has become more predictable. Two types of guided implant surgery protocols - static and dynamic - are described in the literature. The static approach, better known as computer-guided surgery, refers to the use of a tissue-supported surgical template. This reproduces the virtual implant position directly from computerized tomographic data and this information can be converted to guide templates to be used during surgery, with or without raising a mucoperiosteal flap. Dynamic guided surgery, also called navigation, reproduces the virtual implant position directly from computerized tomographic data and uses motion-tracking technology to guide the implant osteotomy preparation. As the technology developed further, different levels of evidence were presented that showed various degrees of accuracy. Several protocols for guided surgery are available in the literature and are distinguished by different guide production techniques, methods of support and drilling/placement protocols. Currently, implant planning software using cone-beam computerized tomography data has made it possible to plan the optical implant position virtually the optimal implant position, taking the surrounding vital anatomic structures and future prosthetic requirements into consideration. This paper summarizes the evolution and ongoing trends in digital and virtual planning and in implant surgery. The purpose of this overview was to clarify the different concepts in guided surgery and their respective advantages, disadvantages and limitations. The outcome of guided surgery is assessed in terms of implant survival, precision and complications. Clinical cases are given to demonstrate briefly the workflow and clinical guidelines for safe use of these approaches.

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Current state of the art of computer‐guided implant surgery

D’Haese¹,

Ackhurst²,

Wismeijer³

et al. 2016

Periodontology 2000

365

285

View full text Add to dashboard Cite

show abstract

“…In 1992, a frameless system called the 'Viewing Wand' was the first navigation unit developed surgically by Ontario-based team for neurosurgery. [ 4 ] For the purpose of surgical planning and navigation, before and during the operation, this system served as an adjunct to computerized tomography along with magnetic resonance imaging and positron emission tomography. In the following years, surgical navigation became popular in medical field, especially in neurosurgery.…”

Section: Historical Perspectivementioning

confidence: 99%

“…In the following years, surgical navigation became popular in medical field, especially in neurosurgery. [ 4 5 6 ] Thus the advantage of using this computer-assisted surgery is the precision it offers.…”

Section: Historical Perspectivementioning

confidence: 99%

Expectation and reality of guided implant surgery protocol using computer-assisted static and dynamic navigation system at present scenario: Evidence-based literature review

Kalaivani¹,

Balaji²,

Manikandan³

et al. 2020

J Indian Soc Periodontol

View full text Add to dashboard Cite

In the field of modern dentistry, ideal three-dimensional positioning of dental implant with optimal prosthetic fit offers successful long-term outcomes. To achieve such accurate implant placement, presurgical evaluation of hard and soft tissue matters the most. Their efforts can be attained using various application programs such as digital imaging, implant planning software, laboratory- or computer-assisted surgical guides, and dynamic navigation approach. To overcome different opinions and choices regarding guided surgery, this article explains an evidence-based literature review to assess its various outcomes and allowing informed choices before using various guided surgical techniques based on its expectation and reality outcomes. This highlights a clinician's choice to guide his successful implant surgery without causing distress in the midway of treatment. An online search was done on PubMed/Medline database to bring in accuracy to the expertise. This review includes reference of publications from 2000 to 2019, which is related to promising outcomes using computer-assisted static or dynamic navigation system for the placement of implant. Out of these, 809 were related to the computer-guided implant placement. Relevant papers were chosen in accordance with the inclusion and exclusion criteria. This review article contemplates to reflect the fact that computer-guided approach is considered to offer more predictable, safer, and faster implant placement with the predetermined final prosthetic outfit. Thus, digital planning and placing of dental implants in the correct position keep escalating to a higher achievement levels than a classical freehand approach. Nevertheless, this guided surgical approach also holds some errors and risks, which must be identified and rectified.

show abstract

“…Here, an ISG Viewing Wand was used to decompress a patient with a C2 maxillary downfracture. 8 Furthermore, a Radionics Operating Arm System was successfully used in anterior surgery of the cervical spine, 9 and Bolger and Wigfield 10 reported accurate placement of surgical implants and resection of lesions in 120 cases within the cervical and thoracic spine. Foley et al 11 used the Stealth-Station in cervical spine surgery cases, including the transarticular C1-2 screw fixation, and demonstrated "the utility of frameless stereotactic guidance of cervical lateral mass screw placement.…”

Section: Introductionmentioning

confidence: 99%

Spinal navigation in cervical fractures?A preliminary clinical study on Judet-osteosynthesis of the axis

Arand

Hartwig

Kinzl

et al. 2001

Comput. Aided Surg.

View full text Add to dashboard Cite

Our initial results using computer-aided implantation of Judet screws showed that these screws were inserted correctly. However, it is important to realize that movements can occur in the vertebral arch and lateral mass during the time between preoperative CT and surgery. This possibility for movement should be taken into account when procedures such as CT-based insertion of image-guided screws into patients with fractures of the isthmus C2 are performed, because damage to neurovascular structures can result. Therefore, this navigation system should only be used by experienced surgeons who can, if necessary, continue the intervention with more conventional techniques. In addition, it is essential that the surgeon have a complete understanding of the principles of the tracking systems to prevent possible misinterpretation of computer-generated information.

show abstract

The ISG viewing wand: an application to atlanto-axial cervical surgery using the Le Fort I maxillary osteotomy

Cited by 22 publications

References 12 publications

Current state of the art of computer‐guided implant surgery

Current state of the art of computer‐guided implant surgery

Expectation and reality of guided implant surgery protocol using computer-assisted static and dynamic navigation system at present scenario: Evidence-based literature review

Spinal navigation in cervical fractures?A preliminary clinical study on Judet-osteosynthesis of the axis

Contact Info

Product

Resources

About