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虚拟手术及导航辅助下多学科协作的颌面部多发骨折的整复治疗

麻宏阳 杨成帅 吴锦阳 徐兵 林明 樊宝华 陈东 张诗雷

组织工程与重建外科杂志2017,Vol.13Issue(4):184-187,4.
组织工程与重建外科杂志2017,Vol.13Issue(4):184-187,4.DOI:10.3969/j.issn.1673-0364.2017.04.002

虚拟手术及导航辅助下多学科协作的颌面部多发骨折的整复治疗

Navigation and Virtual Surgery Assisted Multidisciplinary Treatment of Multiple Maxillofacial Fractures

麻宏阳 1杨成帅 1吴锦阳 1徐兵 1林明 2樊宝华 3陈东 4张诗雷1

作者信息

  • 1. 200011上海市 上海交通大学医学院附属第九人民医院口腔颅颌面科,上海市口腔医学重点实验室/上海市口腔医学研究所,国家口腔疾病临床研究中心
  • 2. 200011上海市 上海交通大学医学院附属第九人民医院眼科
  • 3. 200011上海市 上海交通大学医学院附属第九人民医院神经外科
  • 4. 200011上海市 上海交通大学医学院附属第九人民医院耳鼻咽喉科
  • 折叠

摘要

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.

关键词

虚拟手术/多学科治疗/颌面部骨折

Key words

Virtual surgery/Multidisciplinary therapy/Maxillofacial fracture

分类

医药卫生

引用本文复制引用

麻宏阳,杨成帅,吴锦阳,徐兵,林明,樊宝华,陈东,张诗雷..虚拟手术及导航辅助下多学科协作的颌面部多发骨折的整复治疗[J].组织工程与重建外科杂志,2017,13(4):184-187,4.

基金项目

国家自然科学基金(81371193,81671035,81701034) (81371193,81671035,81701034)

上海市科学技术委员会科研项目(15441906000) (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). (17DZ2272300-1)

组织工程与重建外科杂志

OACSTPCD

1673-0364

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