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Indications for computer‐assisted treatment of cranio‐maxillofacial tumors

Identifieur interne : 003159 ( Istex/Corpus ); précédent : 003158; suivant : 003160

Indications for computer‐assisted treatment of cranio‐maxillofacial tumors

Auteurs : Alexander Schramm ; Nils-Claudius Gellrich ; Ralf Gutwald ; Jörg Schipper ; H. Bloss ; Hubert Hustedt ; Rainer Schmelzeisen ; Jarg Elard Otten

Source :

RBID : ISTEX:648EB5E60516F072C1E311B8469969477EE1F86B

English descriptors

Abstract

Ablative tumor surgery requires detailed planning using computed tomography (CT) or magnetic resonance imaging (MRI). Reconstruction following tumor resection is dependent on reliable information for choosing the correct type and volume of grafts and predicting the outcome. This study evaluates the benefit of and the indications for computer‐assisted surgery in the treatment of cranio‐maxillofacial tumors.

Url:
DOI: 10.1002/1097-0150(2000)5:5<343::AID-IGS4>3.0.CO;2-1

Links to Exploration step

ISTEX:648EB5E60516F072C1E311B8469969477EE1F86B

Le document en format XML

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Objective
<p>Ablative tumor surgery requires detailed planning using computed tomography (CT) or magnetic resonance imaging (MRI). Reconstruction following tumor resection is dependent on reliable information for choosing the correct type and volume of grafts and predicting the outcome. This study evaluates the benefit of and the indications for computer‐assisted surgery in the treatment of cranio‐maxillofacial tumors.</p>
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<p>Based on a CT or MRI data set, the STN Navigation System (Stryker‐Leibinger) was used for preoperative planning, intraoperative navigation, and postoperative control of radical tumor resection and primary and secondary reconstruction. Tumor resection was preoperatively planned and intraoperatively navigated. Preoperatively, the required soft and hard tissue were measured using the mirrored data set of the unaffected side of the facial skeleton; the size and location of the graft were chosen virtually. Intraoperatively, contours of transplanted tissues were navigated in accordance with the preoperatively simulated reconstructive result.</p>
Results
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Conclusions
<p>Image‐guided treatment improves preoperative planning by visualization of the individual anatomy and the intended reconstructive outcome, and by objectivation of the effect of adjuvant chemo‐/radiotherapy. Intraoperative navigation makes radical tumor surgery more reliable by showing the determined safety margins, preserving vital structures, and guiding reconstruction to preplanned objectives. Comp Aid Surg 5:343–352 (2000). © 2000 Wiley‐Liss, Inc.</p>
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<affiliation>Department of Oral and Maxillofacial Surgery (A.S., N‐C.G., R.G., R.S., J.E.O.), Department of Head and Neck Surgery (J.S.), Department of Neurosurgery (H.B.), and Department of Neuroradiology (H.H.), Albert‐Ludwigs‐University, Freiburg i. Br., Germany</affiliation>
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<affiliation>Department of Oral and Maxillofacial Surgery (A.S., N‐C.G., R.G., R.S., J.E.O.), Department of Head and Neck Surgery (J.S.), Department of Neurosurgery (H.B.), and Department of Neuroradiology (H.H.), Albert‐Ludwigs‐University, Freiburg i. Br., Germany</affiliation>
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<namePart type="given">Hubert</namePart>
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<affiliation>Department of Oral and Maxillofacial Surgery (A.S., N‐C.G., R.G., R.S., J.E.O.), Department of Head and Neck Surgery (J.S.), Department of Neurosurgery (H.B.), and Department of Neuroradiology (H.H.), Albert‐Ludwigs‐University, Freiburg i. Br., Germany</affiliation>
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<name type="personal">
<namePart type="given">Rainer</namePart>
<namePart type="family">Schmelzeisen</namePart>
<namePart type="termsOfAddress">M.D., D.M.D., Ph.D.</namePart>
<affiliation>Department of Oral and Maxillofacial Surgery (A.S., N‐C.G., R.G., R.S., J.E.O.), Department of Head and Neck Surgery (J.S.), Department of Neurosurgery (H.B.), and Department of Neuroradiology (H.H.), Albert‐Ludwigs‐University, Freiburg i. Br., Germany</affiliation>
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<namePart type="given">Jarg Elard</namePart>
<namePart type="family">Otten</namePart>
<namePart type="termsOfAddress">M.D., D.M.D., Ph.D.</namePart>
<affiliation>Department of Oral and Maxillofacial Surgery (A.S., N‐C.G., R.G., R.S., J.E.O.), Department of Head and Neck Surgery (J.S.), Department of Neurosurgery (H.B.), and Department of Neuroradiology (H.H.), Albert‐Ludwigs‐University, Freiburg i. Br., Germany</affiliation>
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<dateIssued encoding="w3cdtf">2000</dateIssued>
<dateCaptured encoding="w3cdtf">1999-10-04</dateCaptured>
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<abstract>Ablative tumor surgery requires detailed planning using computed tomography (CT) or magnetic resonance imaging (MRI). Reconstruction following tumor resection is dependent on reliable information for choosing the correct type and volume of grafts and predicting the outcome. This study evaluates the benefit of and the indications for computer‐assisted surgery in the treatment of cranio‐maxillofacial tumors.</abstract>
<abstract>Based on a CT or MRI data set, the STN Navigation System (Stryker‐Leibinger) was used for preoperative planning, intraoperative navigation, and postoperative control of radical tumor resection and primary and secondary reconstruction. Tumor resection was preoperatively planned and intraoperatively navigated. Preoperatively, the required soft and hard tissue were measured using the mirrored data set of the unaffected side of the facial skeleton; the size and location of the graft were chosen virtually. Intraoperatively, contours of transplanted tissues were navigated in accordance with the preoperatively simulated reconstructive result.</abstract>
<abstract>Computer‐assisted treatment was successfully completed in all cases of radical tumor resection, and safety margins outlined preoperatively could be precisely controlled during tumor resection. Reconstruction was designed and performed exactly as virtually planned.</abstract>
<abstract>Image‐guided treatment improves preoperative planning by visualization of the individual anatomy and the intended reconstructive outcome, and by objectivation of the effect of adjuvant chemo‐/radiotherapy. Intraoperative navigation makes radical tumor surgery more reliable by showing the determined safety margins, preserving vital structures, and guiding reconstruction to preplanned objectives. Comp Aid Surg 5:343–352 (2000). © 2000 Wiley‐Liss, Inc.</abstract>
<subject lang="en">
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<topic>computer‐assisted surgery; navigational surgery; frameless stereotaxy; intraoperative navigation; maxillofacial surgery; cranio‐maxillofacial tumor; skull‐base tumor</topic>
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<title>Computer Aided Surgery</title>
<subTitle>Official Journal of the International Society for Computer Aided Surgery (ISCAS)</subTitle>
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<title>Comput. Aided Surg.</title>
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<identifier type="ISSN">1092-9088</identifier>
<identifier type="eISSN">1097-0150</identifier>
<identifier type="DOI">10.1002/(ISSN)1097-0150</identifier>
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<number>5</number>
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<start>343</start>
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<total>10</total>
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<title>Journal of Image Guided Surgery</title>
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<identifier type="ISSN">1078-7844</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2000 Wiley‐Liss, Inc.</accessCondition>
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