Three-Dimensional Implant Positioning with a Piezosurgery Implant Site Preparation Technique and an Intraoral Surgical Navigation System: Case Report

2017 ◽  
Vol 32 (3) ◽  
pp. e163-e165 ◽  
Author(s):  
Gerardo Pellegrino ◽  
Valerio Taraschi ◽  
Tomaso Vercellotti ◽  
Besim Ben-Nissan ◽  
Claudio Marchetti
Keyword(s):  
Case Report ◽  
Navigation System ◽  
Surgical Navigation ◽  
Three Dimensional ◽  
Site Preparation ◽  
Preparation Technique ◽  
Implant Positioning ◽  
Surgical Navigation System ◽  
Implant Site Preparation

scholarly journals Preliminary Outcomes Following Application Of The Real-Time Navigation System Combined With Intraoperative Three-Dimensional C-Arm Computed Tomography For Zygomatico-Orbital Fracture Reconstruction

2021 ◽  
Author(s):  
Yu-Ying Chu ◽  
Jia-Ruei Yang ◽  
Han Tsung Liao ◽  
Bo-Ru Lai
Keyword(s):  
Computed Tomography ◽  
Real Time ◽  
Navigation System ◽  
Surgical Navigation ◽  
Three Dimensional ◽  
Orbital Fracture ◽  
The Real ◽  
Orbital Volume ◽  
Surgical Navigation System ◽  
The Mean

Abstract This study analyzed the outcomes of zygomatico-orbital fracture reconstruction using the real-time navigation system with intraoperative three-dimensional (3D) C-arm computed tomography (CT). Fifteen patients with zygomatico-orbital or isolated orbital/zygoma fractures were enrolled in this prospective cohort. For zygoma reduction, the displacement at five key sutures and the differences between preoperative and intraoperative CT images were compared. For orbital reconstruction, the bilateral orbital volume differences in the anterior, middle, and posterior angles over the medial transitional buttress were measured. Two patients required implant adjustment once after the intraoperative 3D C-arm assessment. On comparing the preoperative and postoperative findings for the zygoma, the average sum of displacement was 19.48 (range, 5.1–34.65) vs. ±1.96 (0–3.95) mm (P < 0.001) and the deviation index was 13.56 (10–24.35) vs. 2.44 (0.6–4.85) (P < 0.001). For the orbit, the mean preoperative to postoperative bilateral orbital volume difference was 3.93 (0.35–10.95) vs. 1.05 (0.12–3.61) mm3 (P <0.001). The mean difference in the bilateral angles at the transition buttress was significantly decreased postoperatively at the middle and posterior one-third. The surgical navigation system with the intraoperative 3D C-arm can effectively improve the accuracy of zygomatico-orbital fracture reconstruction and decrease implant adjustment times.

Sign in / Sign up

Export Citation Format

Share Document