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Frontiers in bioengineering and biotechnology · 2025

Patient-specific dynamic reference frame for navigation-assisted surgery in mandible: a novel noninvasive technical method.

СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Wu Jinyang, Jiang Lai, Cheng Yingqi, Zhang Wenbin, Zhang Jianfei, Gao Xiaoyan, Xu Xiaofeng, Zhang Shilei

Аннотация

OBJECTIVES: Computer-assisted navigation has been established as a valuable tool in oral and craniomaxillofacial surgery. However, the steep learning curve associated with mandibular navigation surgery has hindered its widespread adoption. This study introduces a non-invasive, convenient, and accurate navigation method for mandibular surgery and evaluates its clinical effectiveness.

METHODS: A modified patient-specific dynamic reference frame (PS-DRF) was designed and fabricated based on the patient's lower jaw dental cast, integrating navigation technology with 3D printing. During surgery, the PS-DRF was securely affixed to the lower dentition, enabling automatic pair-point registration through fiducial localization via a navigation probe. The surgical procedure was conducted under real-time navigation guidance.

RESULTS: Preoperative registration and intraoperative navigation were successfully achieved in this case. The navigation-guided mandibular surgery was completed without complications. Postoperative superimposition of the simulated virtual model and the actual surgical outcome demonstrated high accuracy, with a deviation of less than 2 mm.

CONCLUSION: The PS-DRF system offers a convenient, effective, and adaptable approach by integrating navigation technology with 3D printing. This method has the potential to simplify navigation-assisted mandibular surgery and facilitate the broader clinical implementation of computer-assisted navigation in maxillofacial procedures.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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