Journal of Tissue Engineering and Reconstructive Surgery ›› 2017, Vol. 13 ›› Issue (4): 184-187.doi: 10.3969/j.issn.1673-0364.2017.04.002

• Original article • Previous Articles     Next Articles

Navigation and Virtual Surgery Assisted Multidisciplinary Treatment of Multiple Maxillofacial Fractures

MA Hongyang,YANG Chengshuai,WU Jinyang,XU Bing,LIN Ming,FAN Baohua,CHEN Dong,ZHANG Shilei   

  1. Department of Oral and Cranio-maxillofacial Surgery;Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology;National Clinical Research Center of Stomatology; Department of Ophthalmology,Shanghai Ninth People′s Hospital,Shanghai Jiaotong University School of Medicine; Department of Neurosurgery,Shanghai Ninth People′s Hospital,Shanghai Jiaotong University School of Medicine;Ophthalmology and Otorhinolaryngology Department,Shanghai Ninth People′s Hospital,Shanghai Jiaotong University School of Medicine
  • Published:2020-07-23
  • Contact: 国家自然科学基金(81371193,81671035,81701034)；上海市科学技术委员会科研项目(15441906000)；上海市医学图像处理与计算机辅助手术重点实验室开放课题(17DZ2272300-1)

Abstract: Objective To discuss the effectiveness of multidisciplinary treatment for multiple maxillofacial fractures guided by surgical navigation and virtual surgery.Methods From January 2011 to December 2016,46 cases with multiple maxillofacial fractures were enrolled.The preoperative plan was developed through interactive collaborative discussion among the experts and the personalized virtual operation design on the surgical navigation software platform.Then the patients were treated with first-phase open reduction through the guidance of surgical navigation.By comparing the differences between 3D reconstruction of the postoperative CT scans and preoperative plan,the outcomes were evaluated.Results Fractured bone fragments were reduced to the planned positions and verified by probe-based navigation.Most patients healed without serious complications.The assessment of surgical discrepancy showed an optimal result that the error was less than 2 mm (1.56-±0.27 mm).Conclusion Multidisciplinary management with the assistances of virtual surgery and navigation technology,can provide more accurate and efficient treatment plan,and is a highly valuable choice for this complicated treatment procedure.

Key words: Virtual surgery, Multidisciplinary therapy, Maxillofacial fracture

CLC Number: