Performing partial mandibular resection, fibula free flap reconstruction and midfacial osteotomies with a cold ablation and robot-guided Er:YAG laser osteotome (CARLO®) - a study on applicability and effectiveness in human cadavers

Surgical interventions in the viscerocranium require maximum precision to achieve optimal functional and aesthetic results. Publications show that there is still room for improvement when applying conventional procedures (Zaret et al.1961, Taylor et al 1965.). Thus, there is still a strong clinical need to provide techniques that can achieve higher accuracy. State-of-the-art osteotomy techniques use mechanical rotating, oscillating or piezo surgery tools. The large variety of different tools for drilling and cutting have in common that they only provide very limited freedom in their cutting geometries (straight or gently curved lines and holes).

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