Robotic calvarial bone sampling.

Humans Robotics Robotic Surgical Procedures / methods Skull / surgery Osteotomy Cadaver
Bone transplantation Computer-assisted Lasers Robotic surgical procedure Skull

Journal

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
ISSN: 1878-4119
Titre abrégé: J Craniomaxillofac Surg
Pays: Scotland
ID NLM: 8704309

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 14 07 2023
accepted: 05 09 2023
medline: 6 11 2023
pubmed: 9 10 2023
entrez: 8 10 2023
Statut: ppublish

Résumé

The aim of this study was to assess the feasibility of complex unicortical calvarial harvesting by using the Cold Ablation Robot-Guided Laser Osteotome (CARLO® primo+). A cadaveric study was performed with a progressive complexity of the bone harvesting. This preliminary study on the cadaveric cranial vault area examined the tracking precision, the strategies, settings and durations of harvesting, the accuracy of the unicortical bone cutting, and the risk of dura exposition. All sampling was realised with no more difficulty than that experienced during the standard procedure. No bicortical cutting occurred during CARLO® primo + robot-guided laser cutting. During the second sampling, dura was partially exposed due to improper angulation of the curved osteotome during harvesting. Complex unicortical calvarial harvesting using robot-guided laser appears to be feasible and safe. In the future, robotic approaches will probably replace current surgical techniques using cutting guides and help reduce intraoperative inaccuracies due to the human factor.

Identifiants

DOI: 10.1016/j.jcms.2023.09.004 PMID: 37806905
pubmed: 37806905
pii: S1010-5182(23)00166-X
doi: 10.1016/j.jcms.2023.09.004
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

603-608

Informations de copyright

Copyright © 2023 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Auteurs

Thomas Wojcik (T)

Univ. Lille, CHU Lille, INSERM, Oral and Maxillo-Facial Surgery Department, U1008 - Advanced Drug Delivery Systems, F-59000, Lille, France. Electronic address: thomas.wojcik@chu-lille.fr.

Marta Morawska (M)

Advanced Osteotomy Tools AG, Basel, Switzerland. Electronic address: marta.morawska@aot.swiss.

Joël Ferri (J)

Univ. Lille, CHU Lille, INSERM, Oral and Maxillo-Facial Surgery Department, U1008 - Advanced Drug Delivery Systems, F-59000, Lille, France. Electronic address: joel.ferri@chu-lille.fr.

Magdalena Müller-Gerbl (M)

Institute of Anatomy, University of Basel, Basel, Switzerland. Electronic address: m.mueller-gerbl@unibas.ch.

Romain Nicot (R)

Univ. Lille, CHU Lille, INSERM, Oral and Maxillo-Facial Surgery Department, U1008 - Advanced Drug Delivery Systems, F-59000, Lille, France; Univ. Lille, Centrale Lille, CNRS, UMR 9013 - LaMcube - Laboratoire de Mécanique, Multiphysique, Multiéchelle, F-59000, Lille, France. Electronic address: romain.nicot@gmail.com.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Robotic calvarial bone sampling.
questionsmedicales.fr › Sciences de l'information › Méthodologies informatiques › Algorithmes › Intelligence artificielle › Robotique › Robotic calvarial bone sampling.
questionsmedicales.fr › Technologie, industrie et agriculture › Technologie › Automatisation › Interventions chirurgicales robotisées › Robotic calvarial bone sampling.
questionsmedicales.fr › Appareil locomoteur › Squelette › Crâne › Robotic calvarial bone sampling.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures orthopédiques › Ostéotomie › Robotic calvarial bone sampling.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Mort › Cadavre › Robotic calvarial bone sampling.