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

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Publicado en:Frontiers in Bioengineering and Biotechnology vol. 13 (May 2025), p. 1577321-1577329
Autor principal: Wu, Jinyang
Otros Autores: Lai, Jiang, Cheng, Yingqi, Zhang, Wenbin, Zhang, Jianfei, Gao, Xiaoyan, Xu, Xiaofeng, Zhang, Shilei
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Frontiers Media SA
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024 7 |a 1577321  |2 doi 
035 |a 3273044076 
045 2 |b d20250501  |b d20250531 
100 1 |a Wu, Jinyang  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
245 1 |a Patient-specific dynamic reference frame for navigation-assisted surgery in mandible: a novel noninvasive technical method 
260 |b Frontiers Media SA  |c May 2025 
513 |a Journal Article 
520 3 |a ObjectivesComputer-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.MethodsA 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.ResultsPreoperative 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.ConclusionThe 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. 
651 4 |a United States--US 
653 |a Software 
653 |a Accuracy 
653 |a Surgeons 
653 |a Scanners 
653 |a Complications 
653 |a Postoperative 
653 |a Planning 
653 |a Jaw 
653 |a Teeth 
653 |a Maxillofacial 
653 |a Surgery 
653 |a Design 
653 |a Maxillofacial surgery 
653 |a Registration 
653 |a Navigation systems 
653 |a Localization 
653 |a Patients 
653 |a Dentition 
653 |a Compatible hardware 
653 |a Mandible 
700 1 |a Lai, Jiang  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
700 1 |a Cheng, Yingqi  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
700 1 |a Zhang, Wenbin  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
700 1 |a Zhang, Jianfei  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
700 1 |a Gao, Xiaoyan  |u International Medical Department, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
700 1 |a Xu, Xiaofeng  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
700 1 |a Zhang, Shilei  |u Department of Oral and Cranio-maxillofacial Surgery, Shanghai Ninth People‘s Hospital, Shanghai Jiao Tong University School of Medicine, College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai, China 
773 0 |t Frontiers in Bioengineering and Biotechnology  |g vol. 13 (May 2025), p. 1577321-1577329 
786 0 |d ProQuest  |t Health & Medical Collection 
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