A new system for computer-aided preoperative planning and intraoperative navigation during corrective jaw surgery

Chapuis, Jonas; Schramm, Alexander; Pappas, Ion; Hallermann, Wock; Schwenzer-Zimmerer, Katja; Langlotz, Frank; Caversaccio, Marco (2007). A new system for computer-aided preoperative planning and intraoperative navigation during corrective jaw surgery. IEEE transactions on information technology in biomedicine, 11(3), pp. 274-87. New York, N.Y.: Institute of Electrical and Electronics Engineers IEEE 10.1109/TITB.2006.884372

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A new system for computer-aided corrective surgery of the jaws has been developed and introduced clinically. It combines three-dimensional (3-D) surgical planning with conventional dental occlusion planning. The developed software allows simulating the surgical correction on virtual 3-D models of the facial skeleton generated from computed tomography (CT) scans. Surgery planning and simulation include dynamic cephalometry, semi-automatic mirroring, interactive cutting of bone and segment repositioning. By coupling the software with a tracking system and with the help of a special registration procedure, we are able to acquire dental occlusion plans from plaster model mounts. Upon completion of the surgical plan, the setup is used to manufacture positioning splints for intraoperative guidance. The system provides further intraoperative assistance with the help of a display showing jaw positions and 3-D positioning guides updated in real time during the surgical procedure. The proposed approach offers the advantages of 3-D visualization and tracking technology without sacrificing long-proven cast-based techniques for dental occlusion evaluation. The system has been applied on one patient. Throughout this procedure, we have experienced improved assessment of pathology, increased precision, and augmented control.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Hallermann, Wock Fritz and Caversaccio, Marco

ISSN:

1089-7771

ISBN:

17521077

Publisher:

Institute of Electrical and Electronics Engineers IEEE

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:55

Last Modified:

04 May 2014 23:16

Publisher DOI:

10.1109/TITB.2006.884372

PubMed ID:

17521077

Web of Science ID:

000246378700005

URI:

https://boris.unibe.ch/id/eprint/23625 (FactScience: 42945)

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