Real-Time Dynamic Navigation System for the Precise Quad-Zygomatic Implant Placement in a Patient with a Severely Atrophic Maxilla
Autor: | Wei Huang, Qinggang Dai, Yiqun Wu, Lijun Yan, Xiao-Wan Ling, Kengliang Lan, Feng Wang, Baoxin Tao, Yihan Shen, Sun Yuanyuan, Wang Yueping |
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Rok vydání: | 2021 |
Předmět: |
Zygoma
medicine.medical_specialty General Immunology and Microbiology business.industry Zygomatic implant General Chemical Engineering General Neuroscience Navigation system Prostheses and Implants General Biochemistry Genetics and Molecular Biology Surgery Bone augmentation Surgery Computer-Assisted Maxilla Atrophic maxilla Humans Medicine Atrophy business Edentulous maxilla Follow-Up Studies |
Zdroj: | Journal of Visualized Experiments. |
ISSN: | 1940-087X |
DOI: | 10.3791/62489-v |
Popis: | Zygomatic implants (ZIs) are an ideal way to address cases of a severely atrophic edentulous maxilla and maxilla defects because they replace extensive bone augmentation and shorten the treatment cycle. However, there are risks associated with the placement of ZIs, such as penetration of the orbital cavity or infra-temporal fossa. Furthermore, the placement of multiple ZIs makes this surgery risky and more difficult to perform. Potential intraoperative complications are extremely dangerous and may cause irreparable losses. Here, we describe a practical, feasible, and reproducible protocol for a real-time surgical navigation system for precisely placing quad-zygomatic implants in the severely atrophic maxilla of patients with residual bone that does not meet the requirements of conventional implants. Hundreds of patients have received ZIs at our department based on this protocol. The clinical outcomes have been satisfactory, the intraoperative and postoperative complications have been low, and the accuracy indicated by infusion of the designed image and postoperative three-dimensional image has been high. This method should be utilized during the entire surgical procedure to ensure ZI placement safety. |
Databáze: | OpenAIRE |
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