Computer-assisted and navigated piezoelectric surgery: A new technology to improve precision and surgical safety in craniomaxillofacial surgery

Laryngoscope Investigative Otolaryngology

article

Alicia Dean MD, PhD, MSc, FEBOMS¹  Susana Heredero-Jung MD, PhD, FEBOMS¹  Juan Solivera MD, PhD¹  Alba Sanjuan MD³  Francisco Jesús Alamillos-Granados MD, FEBOMS¹ 

[1] Department of Oral and Maxillofacial Surgery, Reina Sofía University Hospital;Department of Neurosurgery, Reina Sofía University Hospital;Head and Neck Oncology/Microvascular Surgery, Ascension-St John Hospital

关键词: computer-assisted surgery;    piezoelectric device;    piezoelectric surgery;    simulation-guided navigation;    surgical navigation;    virtual surgery;   

DOI  :  10.1002/lio2.786

学科分类：环境科学（综合）

来源: Wiley

【 摘 要 】

Background Computer-assisted navigated piezoelectric surgery (CANPS) is a surgical technique that combines the surgical navigation with a piezoelectric device. This association multiplies the advantages of both technologies, taking the best of each one providing a synergistic association. Objective To describe and assess the indications, advantages, disadvantages, and complications of this association of surgical techniques. Methods CANPS was used in 32 patients. The clinical diagnosis was facial trauma, tumors, orthognathic surgeries, temporomandibular joint ankylosis, pathology of the frontal sinus, and alveolar distraction. Nineteen patients were men and 13 were women. Planning software iPlan 3.05 of Brainlab, and Elements of Brainlab were used for planning and the Kolibri and Kurve of Brainlab for surgical navigation. The piezoelectric device used was a “Vercelotti” type in all patients. Results CAPNS could be performed successfully in all cases without complications and reduced the surgeon's uncertainty during the osteotomies. There is continuous control of the position of the surgical instrument. The use of the navigated piezoelectric device allowed the surgeon's uncertainty to be reduced during the performance of the osteotomies in depth, in poorly visible areas, with little access or reduced visibility. It also increases the safety of bone resections near important anatomical structures. Conclusions CANPS combines the advantages of piezoelectric surgery and navigation. CANPS affords real-time control of the position of the cutting tip and allows semiburied approaches. CANPS allows surgery to be precise, safer, and minimally invasive.

【 授权许可】

CC BY|CC BY-NC-ND