Int J Stomatol

Int J Stomatol ›› 2023, Vol. 50 ›› Issue (6): 696-703.doi: 10.7518/gjkq.2023085

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Research progress on the application of computer-assisted navigation surgery in complex maxillofacial fractures

Lu Lei1(),Wang Xin1,Kang Zebiao2,Xie Fuqiang1,2()   

  1. 1.Dept. of Oral and Maxillofacial Surgery, School of Stomatology, Lanzhou University, Lanzhou 730000, China
    2.Dept. of Stomatology, Lanzhou University Second Hospital, Lanzhou 730000, China
  • Received:2023-03-06 Revised:2023-06-07 Online:2023-11-01 Published:2023-10-24
  • Contact: Fuqiang Xie E-mail:lul21@lzu.edu.cn;xiefq@lzu.edu.cn
  • Supported by:
    Natural Science Foundation Project of Gansu Provincial Department of Science and Tech-nology(20JR10RA737);Cuiying Science and Technology Innovation Program of Lanzhou University Second Hospital(CY2021-BJ-A18)

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Abstract:

Maxillofacial fractures are one of the common diseases of the oral and maxillofacial area. Traditional surgical treatment relies on the rigid internal fixation after the reduction of the operator’s direct-looking technique. However, the treatment of complex maxillofacial fractures by traditional surgery still faces many shortcomings due to the complexity of the maxillofacial anatomy and the high requirements for facial aesthetics. Computer-assisted navigation surgery can provide accurate tracking and real-time visualization of anatomical targets and related instruments, which is more effective in solving the problems in the treatment of complex maxillofacial fractures, but there are still some challenges that can not be overcome and are worth studying. This work reviews the procedures of computer-assisted navigation surgery in different types of complex maxillofacial fractures, the methods to improve the accuracy of surgery, its advantages of achieving minimally invasive surgery, and the differences among the computer-assisted navigation surgery, the augmented reality surgery and the robot-assisted surgery, and propose the challenges that plague the application of computer-assisted navigation surgery, such as precise alignment, accurate conduction of intraoperative data, high costs, and difficulties in soft tissue localization. The future development of the application of computer-assisted navigation surgery in complex maxillofacial fractures is prospected.

Key words: computer-assisted navigation surgery, maxillofacial fractures, minimally invasive surgery

CLC Number: 

  • R 782.4

TrendMD: 
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