Use of Virtual Surgical Planning and Virtual Dataset with Intraoperative Navigation to Guide Revision of Complex Facial Fractures: A Case Report

Publication date: Available online 3 September 2018

Source: Journal of Oral and Maxillofacial Surgery

Author(s): Anh Nguyen, Christopher Vanderbeek, Jayini Thakker, Alan Herford

Abstract

The use of intraoperative navigation has become prevalent in multiple surgical fields including neurosurgery, orthopedic surgery, spine surgery, and head and neck surgery. In the past decade, its use has also become popular in oral and maxillofacial surgery. Previous studies have suggested the use of intraoperative navigation improves surgical precision and accuracy, reduces intraoperative risks and postsurgical morbidity. We present a case in which we used intraoperative navigation for revision and secondary reconstruction of multiple facial fractures. Preoperative virtual surgical planning allowed us to customize osteotomies of multiple bony segments and virtually reduced them to their anatomically correct position. The newly reconstructed 3D virtual computed tomography dataset was then used as a template in the navigation system to guide our osteotomies and precisely reposition bony fragments during surgery. We present the workflow necessary to utilize this technology.

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