Three‐dimensional virtual surgical planning in the oncologic treatment of the mandible

Kraeima, Joep; Glas, H.H.; Merema, B.J.; Vissink, Arjan; Spijkervet, Fred K. L.; Witjes, Max J. H.

doi:10.1111/odi.13631

Cited by 15 publications

(21 citation statements)

References 61 publications

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“…This 3D virtual model provides more insight into the implications and complexity of surgical and prosthetic rehabilitation. This insight allows the surgical team to analyse the surgical and rehabilitation outcome and plan the treatment (Kraeima et al., 2020; Witjes, Schepers, & Kraeima, 2018). Although intra‐oral scan techniques are widely used nowadays, some limitations can occur mostly due to poor intra‐oral access caused by, for example, the tumour, trismus or pain.…”

Section: Pretreatment Screeningmentioning

confidence: 99%

“…Once the final oncological treatment plan is agreed upon, having access to a preoperative virtual surgical planning (VSP) can be of importance for the surgical team (Kraeima et al., 2020). Three‐dimensional planning enables a high accuracy of guided resection surgery and prosthetic‐driven reconstruction planning (Kraeima et al., 2018; Tarsitano et al., 2017).…”

Section: Multidisciplinary Approachmentioning

confidence: 99%

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Prosthodontic rehabilitation of head and neck cancer patients—Challenges and new developments

et al. 2020

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Section: Pretreatment Screeningmentioning

confidence: 99%

Section: Multidisciplinary Approachmentioning

confidence: 99%

Prosthodontic rehabilitation of head and neck cancer patients—Challenges and new developments

et al. 2020

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“…AR application is frequent in oncology, being used for osteosarcoma [53], mandibular [54], kidney and prostate cancer [55], meningioma [56], urological cancer, intracranial [57], neuro-oncological [58], and cancer of the liver [14]. Indeed, AR application ensures an accurate visualization of the tumor, identifying its edges and position during surgeries.…”

Section: Oncologymentioning

confidence: 99%

Augmented Reality in Surgery: A Scoping Review

Barcali

Iadanza

Manetti³

et al. 2022

Applied Sciences

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Augmented reality (AR) is an innovative system that enhances the real world by superimposing virtual objects on reality. The aim of this study was to analyze the application of AR in medicine and which of its technical solutions are the most used. We carried out a scoping review of the articles published between 2019 and February 2022. The initial search yielded a total of 2649 articles. After applying filters, removing duplicates and screening, we included 34 articles in our analysis. The analysis of the articles highlighted that AR has been traditionally and mainly used in orthopedics in addition to maxillofacial surgery and oncology. Regarding the display application in AR, the Microsoft HoloLens Optical Viewer is the most used method. Moreover, for the tracking and registration phases, the marker-based method with a rigid registration remains the most used system. Overall, the results of this study suggested that AR is an innovative technology with numerous advantages, finding applications in several new surgery domains. Considering the available data, it is not possible to clearly identify all the fields of application and the best technologies regarding AR.

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“…Which technique will be incorporated as a reliable tool remains to be answered with scientific studies, but it is likely that in the coming decade surgeons will be supported in intra‐operative decision making by an approved technology. The intra‐operative planning of bone margins is nowadays often routinely supported by 3D technology (Kraeima et al., 2020; Merema et al., 2020; Merema et al., 2020). For example, 3D‐printed cutting guides or navigational devices allow for a highly accurate execution of bone cuts.…”

Section: Figurementioning

confidence: 99%

Cooperation as core value in an innovative era

Witjes

Vissink

2020

Oral Diseases

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Cooperation as core value in an innovative era Diagnosis, treatment, and rehabilitation of patients suffering from oral cancer are shared responsibilities of primary care givers like dentists, physicians and oral medicine specialists, and intramural secondary care specialties. Because of the complex nature of treatment and the necessity of long-term care in most patients, the treatment and follow-up of head and neck cancer patients are confined to centers with dedicated teams in most countries. Early referral of patients suspected for oral cancer is considered important because survival is related to tumor stage and primary care givers play a pivotal role in that respect (Grafton-Clarke et al., 2019). Where health care is organized with possibilities of a quick and easy referral, the risk of delayed referral is greatly reduced. dental rehabilitation after oncological surgery. Several practical issues remain to be resolved, however, such as the timing of placement of dental implants as well as the placement of dental implants in free flaps. Like for surgical planning, planning of an oral rehabilitation is supported by 3D technology. This technology supports precise placement of implants and design of prosthetic devices. Notwithstanding the long experience with dental implants, new ideas based on implant technology still emerge and become implemented in clinical practice. The application of zygoma implants after maxillectomy in combination with soft tissue flaps is an example of a creative idea finding its way into the clinic (Hackett et al., 2020). Treatment of cancer in the head and neck area is commonly accompanied by damage to the salivary glands (Barazzuol et al., 2020; Vissink et al., 2015). Damage to the salivary glands is unavoidable as the salivary glands are located superficially and the ionizing radiation has to pass salivary gland tissue to reach the tumor. While there is many approach to minimize this radiation damage to salivary gland tissue, there is yet no satisfactory therapy to treat radiation-induced salivary gland damage. A feasible option might be harvesting salivary gland tissue during, for example, a head and neck dissection procedure, isolate and proliferate stem cells from this tissue and return these stem cells to the salivary glands that are damaged by the postoperative radiotherapy. Such stem cell therapy is an attractive option for the long-term treatment of hyposalivation related xerostomia induced by irradiation, but is in need of further study in animals and preliminary studies in human before it can evolve into a clinically applicable method. Future studies should also focus on a better understanding of the radiosensitivity of parotid and submandibular salivary gland tissue (Serrano Martinez et al., 2020). All these developments show the benefits for patients of a good cooperation between primary and secondary caregivers. The good cooperation also demonstrates what can be achieved if efforts are focused and put into practice.

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Three‐dimensional virtual surgical planning in the oncologic treatment of the mandible

Cited by 15 publications

References 61 publications

Prosthodontic rehabilitation of head and neck cancer patients—Challenges and new developments

Prosthodontic rehabilitation of head and neck cancer patients—Challenges and new developments

Augmented Reality in Surgery: A Scoping Review

Cooperation as core value in an innovative era

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