A new system for computer-aided preoperative planning and intraoperative navigation during corrective jaw surgery.
A new system for computer-aided corrective surgery of the jaws has been developed and introduced clinically. It combines three-dimensional (3-D) surgical planning with conventional dental occlusion planning. The developed software allows simulating the surgical correction on virtual 3-D models of the facial skeleton generated from computed tomography (CT) scans. Surgery planning and simulation include dynamic cephalometry, semi-automatic mirroring, interactive cutting of bone and segment repositioning. By coupling the software with a tracking system and with the help of a special registration procedure, we are able to acquire dental occlusion plans from plaster model mounts. Upon completion of the surgical plan, the setup is used to manufacture positioning splints for intraoperative guidance. The system provides further intraoperative assistance with the help of a display showing jaw positions and 3-D positioning guides updated in real time during the surgical procedure. The proposed approach offers the advantages of 3-D visualization and tracking technology without sacrificing long-proven cast-based techniques for dental occlusion evaluation. The system has been applied on one patient. Throughout this procedure, we have experienced improved assessment of pathology, increased precision, and augmented control.
Chapuis
Jonas
J
MEM Research Center, Institute for Surgical Technology and Biomechanics, University of Berne, 3014 Berne, Switzerland. jonaschapuis@yahoo.fr
Schramm
Alexander
A
Pappas
Ion
I
Hallermann
Wock
W
Schwenzer-Zimmerer
Katja
K
Langlotz
Frank
F
Caversaccio
Marco
M
D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007430:Intraoperative Care / Q000379:methods; D007569:Jaw Abnormalities / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011300:Preoperative Care / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D012984:Software; D025321:Surgery, Computer-Assisted / Q000379:methods*; D018511:Systems Integration; D014584:User-Computer Interface