Computer planning and intraoperative navigation in cranio-maxillofacial surgery.

Preoperative computer design and stereolithographic modeling combined with intraoperative navigation provide a useful guide for and possibly more accurate reconstruction of a variety of complex cranio-maxillofacial deformities. Although probably not necessary for routine use, the author's early experience confirms that of other surgeons with more than a decade of experience: computer-assisted surgery is indicated for complex posttraumatic or postablative reconstruction of the orbits, cranium, maxilla, and mandible; total temporomandibular joint replacement; orthognathic surgery; and complex dental/craniofacial implantology. Further study is needed to provide outcomes data and cost-benefit analyses for each of these indications.

[1]  Marc Christian Metzger,et al.  Comparison of 4 Registration Strategies for Computer-Aided Maxillofacial Surgery , 2007, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[2]  Rudolf Seemann,et al.  Computer-aided navigation in dental implantology: 7 years of clinical experience. , 2004, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[3]  Beat Hammer,et al.  Computer‐Assisted Secondary Reconstruction of Unilateral Posttraumatic Orbital Deformity , 2002, Plastic and reconstructive surgery.

[4]  Jan-Thorsten Schantz,et al.  New Frontiers in Calvarial Reconstruction: Integrating Computer-Assisted Design and Tissue Engineering in Cranioplasty , 2005, Plastic and reconstructive surgery.

[5]  A Schramm,et al.  Repair of complex orbital fractures: technical problems, state-of-the-art solutions and future perspectives. , 1999, Annals of the Academy of Medicine, Singapore.

[6]  N. Futran,et al.  Rigid fixation of vascularized bone grafts in mandibular reconstruction. , 1995, Archives of otolaryngology--head & neck surgery.

[7]  M. Metzger,et al.  Computer modeling and intraoperative navigation in maxillofacial surgery , 2007, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[8]  Alexander Schramm,et al.  Navigation-aided reconstruction of medial orbital wall and floor contour in cranio-maxillofacial reconstruction. , 2004, Injury.

[9]  Alexander Schramm,et al.  Navigational Surgery of the Facial Skeleton , 2006 .

[10]  Daniela Gorski Trevisan,et al.  Towards an integrated system for planning and assisting maxillofacial orthognathic surgery , 2008, Comput. Methods Programs Biomed..

[11]  Jaime Gateno,et al.  Three-dimensional computer-aided surgical simulation for maxillofacial surgery. , 2005, Atlas of the oral and maxillofacial surgery clinics of North America.

[12]  W. Poon,et al.  The use of stereotactic navigation guidance in minimally invasive transnasal nasopharyngectomy: a comparison with the conventional open transfacial approach. , 2002, The British journal of radiology.

[13]  R. Eliashar,et al.  Computerized navigation for surgery of the lower jaw: comparison of 2 navigation systems. , 2008, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[14]  G. Santler,et al.  3-D COSMOS: a new 3-D model based computerised operation simulation and navigation system. , 2000, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[15]  Harald Essig,et al.  Computer-Assisted Navigation in Craniomaxillofacial Tumors , 2008, The Journal of craniofacial surgery.

[16]  G. Santler,et al.  The Graz hemisphere splint: a new precise, non-invasive method of replacing the dental arch of 3D-models by plaster models. , 1998, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[17]  Franz Kainberger,et al.  Computer-aided placement of endosseous oral implants in patients after ablative tumour surgery: assessment of accuracy. , 2003, Clinical oral implants research.

[18]  R. Ewers,et al.  Basic research and 12 years of clinical experience in computer-assisted navigation technology: a review. , 2005, International journal of oral and maxillofacial surgery.

[19]  Rolf Ewers,et al.  Point-to-point computer-assisted navigation for precise transfer of planned zygoma osteotomies from the stereolithographic model into reality. , 2006, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[20]  W Millesi,et al.  [Indications and use of stereolithographic skull reconstructions in oromaxillofacial surgery]. , 1995, Der Radiologe.

[21]  E. Hannen,et al.  Recreating the original contour in tumor deformed mandibles for plate adapting. , 2006, International journal of oral and maxillofacial surgery.

[22]  G. Herman,et al.  Three-dimensional reconstruction of craniofacial deformity using computed tomography. , 1983, Neurosurgery.

[23]  Robert Sader,et al.  Three-dimensional craniofacial reconstruction imaging. , 2002, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[24]  B. Girod,et al.  Advances in interactive craniofacial surgery planning by 3D simulation and visualization. , 1995, International journal of oral and maxillofacial surgery.

[25]  D. Dean,et al.  Computer Aided Design of Large-Format Prefabricated Cranial Plates , 2003, The Journal of craniofacial surgery.

[26]  L I Malis,et al.  Titanium mesh and acrylic cranioplasty. , 1989, Neurosurgery.

[27]  J. Mühling,et al.  Computer assisted oral and maxillofacial surgery--a review and an assessment of technology. , 2001, International journal of oral and maxillofacial surgery.

[28]  J. Lustmann,et al.  Navigation surgery for dental implants: assessment of accuracy of the image guided implantology system. , 2004, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[29]  D A Hidalgo,et al.  Reconstruction of the mandible with osseous free flaps: a 10-year experience with 150 consecutive patients. , 1999, Plastic and reconstructive surgery.

[30]  A Wagner,et al.  Virtual image guided navigation in tumor surgery--technical innovation. , 1995, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[31]  Ron Kikinis,et al.  Comparison of different registration methods for surgical navigation in cranio-maxillofacial surgery. , 2008, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[32]  Russell H. Taylor,et al.  Computer-Integrated Surgery: Technology and Clinical Applications , 1995 .

[33]  Alexander Schramm,et al.  Navigation-Aided Reconstruction of Medial Orbital Wall and Floor Contour in Craniomaxillofacial Reconstruction , 2005 .

[34]  A Thor,et al.  A selective laser sintering guide for transferring a virtual plan to real time surgery in composite mandibular reconstruction with free fibula osseous flaps. , 2009, International journal of oral and maxillofacial surgery.

[35]  Jaime Gateno,et al.  New protocol for 1-stage treatment of temporomandibular joint ankylosis using surgical navigation. , 2007, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[36]  P. Costantino,et al.  Advances in Cranioplasty: A Simplified Algorithm to Guide Cranial Reconstruction of Acquired Defects , 2008, Facial plastic surgery : FPS.

[37]  Michael Figl,et al.  Navigated flapless transmucosal implant placement in the mandible: a pilot study in 20 patients. , 2007, The International journal of oral & maxillofacial implants.

[38]  J. Frodel,et al.  Computer-designed implants for fronto-orbital defect reconstruction. , 2008, Facial plastic surgery : FPS.

[39]  R. Marmulla,et al.  Computer-assisted bone segment navigation. , 1998, Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery.

[40]  Jaime Gateno,et al.  Clinical feasibility of computer-aided surgical simulation (CASS) in the treatment of complex cranio-maxillofacial deformities. , 2007, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[41]  A. Goldenberg,et al.  Computer- and robot-assisted resection of thalamic astrocytomas in children. , 1991, Neurosurgery.

[42]  Jaime Gateno,et al.  A new technique for the creation of a computerized composite skull model. , 2003, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[43]  M. Caterino,et al.  Cranioplasty performed with a new osteoconductive osteoinducing hydroxyapatite-derived material. , 1998, Journal of neurosurgery.

[44]  N. Hejazi.  Frameless image-guided neuronavigation in orbital surgery: practical applications , 2006, Neurosurgical Review.

[45]  R. C. Schultz,et al.  Structural Pillars of the Facial Skeleton: An Approach to the Management of Le Fort Fractures , 1980, Plastic and reconstructive surgery.

[46]  Filip Schutyser,et al.  The Use of a Wax Bite Wafer and a Double Computed Tomography Scan Procedure to Obtain a Three-Dimensional Augmented Virtual Skull Model , 2007, The Journal of craniofacial surgery.

[47]  Jaime Gateno,et al.  New clinical protocol to evaluate craniomaxillofacial deformity and plan surgical correction. , 2009, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[48]  L Reinisch,et al.  Computer-assisted surgical techniques: a vision for the future of otolaryngology-head and neck surgery. , 1994, The Journal of otolaryngology.

[49]  N. Gellrich,et al.  [Objectivity of therapeutic results following skull base surgery using virtual model analysis]. , 2006, HNO.

[50]  Beat Hammer,et al.  Manufacturing splints for orthognathic surgery using a three-dimensional printer. , 2008, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[51]  J. Bill,et al.  Stereolithography in oral and maxillofacial operation planning. , 1995, International journal of oral and maxillofacial surgery.

[52]  J. Schipper,et al.  Objektivierung von Therapieergebnissen in der Schädelbasischirurgie durch virtuelle Modellanalyse , 2006, HNO.

[53]  L Klimek,et al.  Computer-assisted surgery of the paranasal sinuses. , 1993, The Journal of otolaryngology.

[54]  A Wagner,et al.  [Computer-assisted intraoperative visualization of dental implants. Augmented reality in medicine]. , 1995, Der Radiologe.

[55]  K. Weimer,et al.  Use of computer-aided design and computer-aided manufacturing to produce orthognathically ideal surgical outcomes: a paradigm shift in head and neck reconstruction. , 2009, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[56]  R. Bell.  A Comparison of Fixation Techniques in Oro-Mandibular Reconstruction Utilizing Fibular Free Flaps , 2007 .

[57]  I Isherwood,et al.  Three-dimensional anatomical images from computed tomographic scans. , 1986, The British journal of radiology.

[58]  S Hassfeld,et al.  Operation planning in craniomaxillofacial surgery. , 1997, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[59]  Matthew A. Jolley,et al.  Failure of autologous bone-assisted cranioplasty following decompressive craniectomy in children and adolescents. , 2004, Journal of neurosurgery.

[60]  Max Heiland,et al.  Indications and limitations of intraoperative navigation in maxillofacial surgery. , 2004, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[61]  H. Tideman.  Fibula free flap: A new method of mandible reconstruction , 1990 .

[62]  R. Richards,et al.  The use of computer-generated three-dimensional models in orbital reconstruction. , 1998, The British journal of oral & maxillofacial surgery.

[63]  M. Egbert,et al.  Craniofacial fractures. An algorithm to optimize results. , 1992, Clinics in plastic surgery.

[64]  E. Santamaria,et al.  Mandibular reconstruction with fibular osteoseptocutaneous free flap and simultaneous placement of osseointegrated dental implants. , 1997, The Journal of craniofacial surgery.

[65]  M. Strauss,et al.  Evaluation of the accuracy of three different computer-aided surgery systems in dental implantology: optical tracking vs. stereolithographic splint systems. , 2008, Clinical oral implants research.

[66]  G. Barnett,et al.  Surgical management of convexity and falcine meningiomas using interactive image-guided surgery systems. , 1996, Neurosurgery clinics of North America.

[67]  N Samman,et al.  Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy. , 2000, International journal of oral and maxillofacial surgery.

[68]  Jaime Gateno,et al.  Three-Dimensional Surgical Planning for Maxillary and Midface Distraction Osteogenesis , 2003, The Journal of craniofacial surgery.

[69]  A Schramm,et al.  Indications for computer-assisted treatment of cranio-maxillofacial tumors. , 2000, Computer aided surgery : official journal of the International Society for Computer Aided Surgery.

[70]  Alexander Schramm,et al.  Navigational Maxillofacial Surgery Using Virtual Models , 2005, World journal of surgery.

[71]  野口 信宏.  An orthognathic simulation system integrating teeth, jaw and face data using 3D cephalometry , 2008 .

[72]  G. Robb,et al.  Free-Flap Mandibular Reconstruction: A 10-Year Follow-up Study , 2004 .

[73]  N. Gellrich,et al.  Navigation-guided resection of temporomandibular joint ankylosis promotes safety in skull base surgery. , 2002, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[74]  Ralf Schön,et al.  Individual preformed titanium meshes for orbital fractures. , 2006, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[75]  S. Girod,et al.  Image-guided surgical navigation in implant-based auricular reconstruction. , 2008, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[76]  K. Blackwell,et al.  Fixation of mandibular osteotomies: Comparison of locking and nonlocking hardware , 2007, Head & neck.

[77]  M W Vannier,et al.  Three dimensional CT reconstruction images for craniofacial surgical planning and evaluation. , 1984, Radiology.

[78]  R. Kikinis,et al.  Computer‐Assisted Three‐Dimensional Planning in Craniofacial Surgery , 1993, Plastic and reconstructive surgery.

[79]  Alexander Schramm,et al.  Computer Assisted Oral and Maxillofacial Reconstruction , 2006, J. Comput. Inf. Technol..

[80]  T Takato,et al.  Use of a laser-hardened three-dimensional replica for simulated surgery. , 1994, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.