A Multicenter Experience With Image-Guided Surgical Navigation
| Autor: | James P. Bradley, Peter Niclas Broer, Neil Tanna, Jamie P. Levine, Brian T. Andrews, Todd E. Thurston, Anand Kumar |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Neuronavigation Adolescent Computed tomography Resection Craniofacial Abnormalities Young Adult medicine Humans Child Image guidance Craniofacial surgery Retrospective Studies medicine.diagnostic_test business.industry Craniomaxillofacial surgery General Medicine Middle Aged Surgery Oral Image-guided surgery Surgery Computer-Assisted Otorhinolaryngology Female Surgery Neurosurgery Radiology Tomography X-Ray Computed business |
| Zdroj: | Journal of Craniofacial Surgery. 26:1136-1139 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0000000000001672 |
| Popis: | Image-guided surgical navigation, or computed tomography (CT)-guided surgery, is a technology used by many specialties to reduce complications and improve surgical outcomes. Its use has become widespread in neurosurgical intracranial and otolaryngological skull base procedures. The authors hypothesize that CT image-guided surgical navigation has a wide scope of utility in complex craniomaxillofacial procedures. With time and experience, its use will further advance the safety and efficacy of craniomaxillofacial surgery.A multicenter retrospective study at the University of California-Los Angeles, New York University, University of Pittsburgh, and the University of Kansas Medical Center was conducted. All craniomaxillofacial procedures using CT image-guided surgical navigation were reviewed.Twenty subjects were identified who underwent a total of 26 CT-guided navigation procedures (6 cases were bilateral). Subunits reconstructed included: the upper face (n = 5), middle face (n = 7), and lower face (n = 6). Two additional patients used CT navigation to reconstruct multiple facial subunits. In all 20 subjects, the image-guided system correctly identified the surgical anatomy to less than 2 mm. There were no perioperative complications. Long-term follow-up demonstrated no revisionary procedures were required to date.Computed tomography-guided navigation is a safe and effective tool with multiple applications in craniomaxillofacial surgery. Indications for its use in complex craniomaxillofacial procedures continue to broaden. Further experience with this technology will continue to expand its clinical utility in craniomaxillofacial surgery. |
| Databáze: | OpenAIRE |
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