title: Interdisciplinary Surgical Management of Multiple Facial Fractures With Image-Guided Navigation.
abstract: OBJECTIVE
  To evaluate the effectiveness of interdisciplinary surgical management of multiple facial fractures with image-guided surgical navigation.
  
  
  METHODS
  From 2011 through 2014, 36 patients with multiple facial fractures were enrolled in the study. With individual virtual 3-dimensional (3D) modeling, interdisciplinary planning and surgical simulation were carried out on an Accu-Navi software platform. Through an interactive collaboration among specialists, all patients underwent 1-stage open reduction under guidance of the navigation system. The outcome was assessed by superimposing the postoperative 3D computed tomographic (CT) model on the preoperative plan and clinical examination.
  
  
  RESULTS
  Through the registration procedure, an accurate match between the actual intraoperative position and the CT images was achieved within a systematic error of 1 mm. The fractured bone segments were released and repositioned according to the preoperative plan and simulation with the aid of instrument- and probe-based navigation. All patients underwent uneventful healing without serious complications. Postoperative assessment of surgical intervention showed a quantitative discrepancy less than 2 mm (1.49 ± 0.27), showing a satisfactory concordance.
  
  
  CONCLUSIONS
  In the interdisciplinary surgical management of multiple facial fractures, image-guided surgical navigation, including preoperative planning, surgical simulation, postoperative assessment, and computer-assisted navigation, proved an optimal strategy and valuable option for this potentially complicated procedure.
authors: Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, Ewha Womans University Medical Center, Seoul, Korea.
authors: Jin-Woo
authors: JW
authors: Kim
authors: Resident, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Jinyang
authors: J
authors: Wu
authors: Professor, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Steve Guofang
authors: SG
authors: Shen
authors: Professor, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Bing
authors: B
authors: Xu
authors: Associate Professor, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors: Jun
authors: J
authors: Shi
authors: Associate Professor, Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology Shanghai Jiao Tong University School of Medicine, Shanghai, China. Electronic address: leinnymd@hotmail.com.
authors: Shilei
authors: S
authors: Zhang
mesh_terms: D000293:Adolescent; D000328:Adult; D005151:Facial Injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D016544:Patient Simulation; D012887:Skull Fractures / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult