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

computer‐assisted surgery piezoelectric device piezoelectric surgery simulation‐guided navigation surgical navigation virtual surgery

Journal

Laryngoscope investigative otolaryngology
ISSN: 2378-8038
Titre abrégé: Laryngoscope Investig Otolaryngol
Pays: United States
ID NLM: 101684963

Informations de publication

Date de publication:
Jun 2022
Historique:
received: 04 12 2021
revised: 05 02 2022
accepted: 14 03 2022
entrez: 23 6 2022
pubmed: 24 6 2022
medline: 24 6 2022
Statut: epublish

Résumé

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. To describe and assess the indications, advantages, disadvantages, and complications of this association of surgical techniques. 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. 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. 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.

Sections du résumé

Background UNASSIGNED
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 UNASSIGNED
To describe and assess the indications, advantages, disadvantages, and complications of this association of surgical techniques.
Methods UNASSIGNED
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 UNASSIGNED
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 UNASSIGNED
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.

Identifiants

pubmed: 35734050
doi: 10.1002/lio2.786
pii: LIO2786
pmc: PMC9195016
doi:

Types de publication

Journal Article

Langues

eng

Pagination

684-691

Informations de copyright

© 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.

Déclaration de conflit d'intérêts

The first author has received speakers’ fees from the BrainLab Company.

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Auteurs

Alicia Dean (A)

Department of Oral and Maxillofacial Surgery Reina Sofía University Hospital Córdoba Spain.

Susana Heredero-Jung (S)

Department of Oral and Maxillofacial Surgery Reina Sofía University Hospital Córdoba Spain.

Juan Solivera (J)

Department of Oral and Maxillofacial Surgery Reina Sofía University Hospital Córdoba Spain.
Department of Neurosurgery Reina Sofía University Hospital Córdoba Spain.

Alba Sanjuan (A)

Head and Neck Oncology/Microvascular Surgery Ascension-St John Hospital Detroit USA.

Francisco Jesús Alamillos-Granados (FJ)

Department of Oral and Maxillofacial Surgery Reina Sofía University Hospital Córdoba Spain.

Classifications MeSH