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.
Bell
R Bryan
RB
Oral and Maxillofacial Surgery Service, Legacy Emanuel Hospital and Health Center, Head and Neck Surgical Associates, Oregon Health & Science University, 1849 NW Kearney, Suite 300, Portland, OR 97209, USA. bellb@hnsa1.com
D019643:Arthroplasty, Replacement / Q000379:methods; D017076:Computer-Aided Design; D019465:Craniofacial Abnormalities / Q000601:surgery; D005147:Facial Bones / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care; D008446:Maxillofacial Injuries / Q000601:surgery; D008953:Models, Anatomic; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010347:Patient Care Planning; D019919:Prosthesis Implantation / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D012886:Skull / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013704:Temporomandibular Joint / Q000601:surgery