Evaluation of the Accuracy of Computer-Guided Mandibular Fracture Reduction.
Identifieur interne : 005D22 ( Ncbi/Checkpoint ); précédent : 005D21; suivant : 005D23Evaluation of the Accuracy of Computer-Guided Mandibular Fracture Reduction.
Auteurs : Mostafa El-Gengehi [Arabie saoudite] ; Sameh A. SeifSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Chirurgie assistée par ordinateur (), Chirurgie assistée par ordinateur (normes), Conception assistée par ordinateur, Endoprothèses, Femelle, Fractures mandibulaires (), Humains, Imagerie tridimensionnelle (), Impression tridimensionnelle, Interface utilisateur, Mandibule (), Mâchoire partiellement édentée (), Mâchoire édentée (), Mâle, Ostéosynthèse interne (instrumentation), Planification des soins du patient, Plaques orthopédiques, Sujet âgé, Tomodensitométrie à faisceau conique (), Vis orthopédiques, Études de suivi.
- MESH :
- normes : Chirurgie assistée par ordinateur.
- instrumentation : Adulte, Adulte d'âge moyen, Chirurgie assistée par ordinateur, Conception assistée par ordinateur, Endoprothèses, Femelle, Fractures mandibulaires, Humains, Imagerie tridimensionnelle, Impression tridimensionnelle, Interface utilisateur, Mandibule, Mâchoire partiellement édentée, Mâchoire édentée, Mâle, Ostéosynthèse interne, Planification des soins du patient, Plaques orthopédiques, Sujet âgé, Tomodensitométrie à faisceau conique, Vis orthopédiques, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Bone Plates, Bone Screws, Computer-Aided Design, Cone-Beam Computed Tomography (methods), Female, Follow-Up Studies, Fracture Fixation, Internal (instrumentation), Humans, Imaging, Three-Dimensional (methods), Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (surgery), Male, Mandible (surgery), Mandibular Fractures (surgery), Middle Aged, Patient Care Planning, Printing, Three-Dimensional, Stents, Surgery, Computer-Assisted (methods), Surgery, Computer-Assisted (standards), User-Computer Interface.
- MESH :
- instrumentation : Fracture Fixation, Internal.
- methods : Cone-Beam Computed Tomography, Imaging, Three-Dimensional, Surgery, Computer-Assisted.
- standards : Surgery, Computer-Assisted.
- surgery : Jaw, Edentulous, Jaw, Edentulous, Partially, Mandible, Mandibular Fractures.
- Adult, Aged, Bone Plates, Bone Screws, Computer-Aided Design, Female, Follow-Up Studies, Humans, Male, Middle Aged, Patient Care Planning, Printing, Three-Dimensional, Stents, User-Computer Interface.
Abstract
The aim of the current study was to evaluate the accuracy of computer-guided mandibular fracture reduction. A total of 24 patients with fractured mandible were included in the current study. A preoperative cone beam computed tomography (CBCT) scan was performed on all of the patients. Based on CBCT, three-dimensional reconstruction and virtual reduction of the mandibular fracture segments were done and a virtual bone borne surgical guide was designed and exported as Standard Tessellation Language file. A physical guide was then fabricated using a three-dimensional printing machine. Open reduction and internal fixation was done for all of the patients and the fracture segments were anatomically reduced with the aid of the custom-fabricated surgical guide. Postoperative CBCT was performed after 7 days and results of which were compared with the virtually reduced preoperative mandibular models. Comparison of values of lingula-sagittal plane, inferior border-sagittal plane, and anteroposterior measurements revealed no statistically significant differences between the virtual and the clinically reduced CBCT models. Based on the results of the current study, computer-based surgical guide aid in obtaining accurate anatomical reduction of the displaced mandibular fractured segments. Moreover, the computer-based surgical guides were found to be beneficial in reducing fractures of completely and partially edentulous mandibles.
DOI: 10.1097/SCS.0000000000001773
PubMed: 26163841
Affiliations:
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Seif</name></author></analytic><series><title level="j">The Journal of craniofacial surgery</title><idno type="eISSN">1536-3732</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Bone Plates</term><term>Bone Screws</term><term>Computer-Aided Design</term><term>Cone-Beam Computed Tomography (methods)</term><term>Female</term><term>Follow-Up Studies</term><term>Fracture Fixation, Internal (instrumentation)</term><term>Humans</term><term>Imaging, Three-Dimensional (methods)</term><term>Jaw, Edentulous (surgery)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Mandible (surgery)</term><term>Mandibular Fractures (surgery)</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Printing, Three-Dimensional</term><term>Stents</term><term>Surgery, Computer-Assisted (methods)</term><term>Surgery, Computer-Assisted (standards)</term><term>User-Computer Interface</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Chirurgie assistée par ordinateur ()</term><term>Chirurgie assistée par ordinateur (normes)</term><term>Conception assistée par ordinateur</term><term>Endoprothèses</term><term>Femelle</term><term>Fractures mandibulaires ()</term><term>Humains</term><term>Imagerie tridimensionnelle ()</term><term>Impression tridimensionnelle</term><term>Interface utilisateur</term><term>Mandibule ()</term><term>Mâchoire partiellement édentée ()</term><term>Mâchoire édentée ()</term><term>Mâle</term><term>Ostéosynthèse interne (instrumentation)</term><term>Planification des soins du patient</term><term>Plaques orthopédiques</term><term>Sujet âgé</term><term>Tomodensitométrie à faisceau conique ()</term><term>Vis orthopédiques</term><term>Études de suivi</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cone-Beam Computed Tomography</term><term>Imaging, Three-Dimensional</term><term>Surgery, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Chirurgie assistée par ordinateur</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Surgery, Computer-Assisted</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term><term>Mandible</term><term>Mandibular Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Bone Plates</term><term>Bone Screws</term><term>Computer-Aided Design</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Printing, Three-Dimensional</term><term>Stents</term><term>User-Computer Interface</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Chirurgie assistée par ordinateur</term><term>Conception assistée par ordinateur</term><term>Endoprothèses</term><term>Femelle</term><term>Fractures mandibulaires</term><term>Humains</term><term>Imagerie tridimensionnelle</term><term>Impression tridimensionnelle</term><term>Interface utilisateur</term><term>Mandibule</term><term>Mâchoire partiellement édentée</term><term>Mâchoire édentée</term><term>Mâle</term><term>Ostéosynthèse interne</term><term>Planification des soins du patient</term><term>Plaques orthopédiques</term><term>Sujet âgé</term><term>Tomodensitométrie à faisceau conique</term><term>Vis orthopédiques</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of the current study was to evaluate the accuracy of computer-guided mandibular fracture reduction. A total of 24 patients with fractured mandible were included in the current study. A preoperative cone beam computed tomography (CBCT) scan was performed on all of the patients. Based on CBCT, three-dimensional reconstruction and virtual reduction of the mandibular fracture segments were done and a virtual bone borne surgical guide was designed and exported as Standard Tessellation Language file. A physical guide was then fabricated using a three-dimensional printing machine. Open reduction and internal fixation was done for all of the patients and the fracture segments were anatomically reduced with the aid of the custom-fabricated surgical guide. Postoperative CBCT was performed after 7 days and results of which were compared with the virtually reduced preoperative mandibular models. Comparison of values of lingula-sagittal plane, inferior border-sagittal plane, and anteroposterior measurements revealed no statistically significant differences between the virtual and the clinically reduced CBCT models. Based on the results of the current study, computer-based surgical guide aid in obtaining accurate anatomical reduction of the displaced mandibular fractured segments. Moreover, the computer-based surgical guides were found to be beneficial in reducing fractures of completely and partially edentulous mandibles.</div></front></TEI><affiliations><list><country><li>Arabie saoudite</li></country></list><tree><noCountry><name sortKey="Seif, Sameh A" sort="Seif, Sameh A" uniqKey="Seif S" first="Sameh A" last="Seif">Sameh A. Seif</name></noCountry><country name="Arabie saoudite"><noRegion><name sortKey="El Gengehi, Mostafa" sort="El Gengehi, Mostafa" uniqKey="El Gengehi M" first="Mostafa" last="El-Gengehi">Mostafa El-Gengehi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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