Application of computer-aided surgery in fibrous dysplasia of cranio-maxillofacial bone

Abstract

Abstract: PURPOSE: To evaluate the effect of computer-aided surgical techniques in surgical treatment of cranio-maxillofacial fibrous dysplasia. METHODS: Twenty-two patients from January 1999 to December 2012 with cranio-maxillofacial fibrous dysplasia were treated in our department. According to the patients’specific conditions, surgeons designed surgical programs, and used computer-assisted surgical techniques to produce skull model and navigation template individually. The effects after surgery were evaluated. RESULTS: Twenty-two patients with resection of the bone lesions restored facial symmetry partially. The patients were followed up for 3 to 36 months, and the treatment effects were satisfactory. CONCLUSIONS: With preoperative planning, intraoperative navigation and postoperative prediction, computer-aided surgery shows its great value in improving the accuracy of cranio-maxillofacial surgery, shortening operating time and restoring facial symmetry. It is regarded as a valuable and safe surgical technique in cranio-maxillofacial surgery.

Key words: Computer-aided surgery, Template, Navigation, Rapid prototyping, Jaw deformity

CLC Number:

R782.4

TAN Xin-ying, HU min, TAO Ye, LUO Jin-chao, XU Juan, LIU San-xia. Application of computer-aided surgery in fibrous dysplasia of cranio-maxillofacial bone[J]. Shanghai Journal of Stomatology, 2014, 23(1): 62-65.

References

[1] 陈帆, 郭传瑸. 颌骨骨纤维异常增殖症研究进展 [J]. 上海口腔医学, 2009, 18(5): 540-544.
[2] 李友忠, 葛圣雷, 杨新明, 等. 上颌骨骨纤维异常增殖症手术治疗37例分析[J]. 临床耳鼻咽喉头颈外科杂志, 2008, 22(11): 504-505, 508.
[3] 谌东明, 张开均, 张丽琼, 等. 颌面部骨纤维异常增殖症34例临床分析[J]. 口腔医学研究, 2011, 27(12): 1070-1074.
[4] Herman GT. Three-dimensional imaging on a CT or MR scanner[J]. J Comput Assist Tomogr, 1988, 12(3): 450-458.
[5] 胡敏, 周继林, 洪民, 等. 三维影像重建的临床应用 [J]. 口腔颌面外科杂志, 1993, 3(3): 129-131.
[6] Webb S, Leach MO, Herman GT. Reconstructions from a Nonstandard CT Scanner[J]. IEEE Trans Med Imaging,1984,3(4): 193-196.
[7] Herman GT. Reconstruction algorithms for nonstandard CT scanner designs [J]. J Med Syst, 1982, 6(6): 555-567.
[8] Herman S, DeBoer G, Rideout DF, et al. Observer variation in abdominal CT[J]. Invest Radiol, 1984, 19(6): 597-598.
[9] 杨斌, 张涤生, 冯胜之. 颅面外科计算机辅助手术系统技术进展及应用[J]. 中华整形外科杂志, 1999, 15(2): 148.
[10] 李晶, 阮兴云, 张良才, 等. 计算机辅助外科手术模拟系统的研制与应用[J]. 医疗卫生装备, 2006, 27(3): 8-9.
[11] 孟宝全, 赵淑玉. 快速自动成型技术的原理及其发展趋势[J]. 装备制造技术, 2008, 15(4):114-115.
[12] 桂海军, 沈国芳. 计算机辅助外科在正颌手术术前模拟中的应用 [J]. 中华口腔医学研究杂志(电子版), 2010, 4(6): 626-630.
[13] Fernandes R, DiPasquale J. Computer-aided surgery using 3D rendering of maxillofacial pathology and trauma[J]. Int J Med Robot, 2007, 3(3): 203-206.
[14] 徐立群, 张陈平. 计算机辅助外科在口腔颌面外科的应用[J]. 现代口腔医学杂志, 2003, 17(3): 264-266.
[15] Bettschart C, Kruse A, Matthews F, et al. Point-to-point registration with mandibulo-maxillary splint in open and closed jaw position. Evaluation of registration accuracy for computer-aided surgery of the mandible [J]. J Craniomaxillofac Surg, 2012, 40(7): 592-598.
[16] Bai S, Shang H, Liu Y, et al. Computer-aided design and computer-aided manufacturing locating guides accompanied with prebent titanium plates in orthognathic surgery[J]. J Oral Maxillofac Surg, 2012, 70(10): 2419-2426.
[17] Gelesko S, Markiewicz MR, Weimer K, et al. Computer-aided orthognathic surgery[J]. Atlas Oral Maxillofac Surg Clin North Am, 2012, 20(1): 107-118.
[18] Levine JP, Patel A, Saadeh PB, et al. Computer-aided design and manufacturing in craniomaxillofacial surgery: the new state of the art [J]. J Craniofac Surg, 2012, 23(1): 288-293.
[19] 胡敏,丁仲鹃,田慧颖. 修复前外科与义齿和义颌修复[M]. 北京: 科学出版社, 2007: 1-233.
[20] Bai S, Bi Y, Dong Y, et al. Computer-aided design/computer-aided manufacturing implant guide used in flapless surgery for auricular prosthesis[J]. J Oral Maxillofac Surg, 2012, 70(6): 1338-1341.