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Improving Workflow and Accuracy in Craniofacial Reconstruction with Computer-assisted Surgical Planning

Author : J Zachary Fishman
Publisher :
Page : 0 pages
File Size : 10,18 MB
Release : 2020
Category :
ISBN :

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Trauma and pathological involvement can result in major disruption of the face and skull's complex 3D bony and soft tissue structure. Accurate craniofacial reconstruction is challenging when there is insufficient patient-specific 3D face and skeletal shape information, especially for severe bilateral cases. The objective of the research in this thesis is to develop computer-assisted pre-operative planning and intra-operative workflow for 'outside-in' craniofacial reconstruction to restore pre-injury/pathology morphology, including improving accuracy in related nasal reconstruction, rhinoplasty and facial reanimation procedures. To estimate 3D facial morphology from 2D photos for bilateral cases, the accuracy of morphable models was investigated to quantify the spatial distribution of error by evaluating a database of 100 subjects' 3D faces. To account for a patient's smile and provide guidance to facial reanimation, a 3D analysis quantified lip and cheek movement at 4 increasing smile intensities, where small differences were found between sexes and races. Applying 3D pre-operative planning to surgical workflow, a newly developed CAD-CAM process was utilized in a case series of five patients undergoing nasal reconstruction. 3D digital noses were flattened to create 2D templates, printed 1:1 scale and successfully used as an intra-operative guide to shape forehead flaps for nasal reconstruction. With the aim of improving the assessment of nasal symmetry, a deviation measurement algorithm was developed and validated on a controlled asymmetrical nose model. The average maximum nasal deviation for 100 subjects was evaluated to provide context for clinical assessment. To infer the underlying 3D skull morphology from a 3D facial surface, a forensics tissue depth model was 'reverse-engineered' on 33 head CT images. A new algorithm was developed to improve measuring tissue depths perpendicular to the face and demonstrated that a 3D skull shape can be inferred with low error for the outermost craniofacial skeleton. Overall, this thesis presents the development and validation of new algorithms to improve pre-operative planning and intra-operative workflow in craniofacial reconstruction. This research leverages personal photos, repurposes non-clinical software and generates physical templates in order to improve the accuracy of surgeons to restore craniofacial soft tissue and skeletal structures to their pre-injury/ pathology state.

Computer-Assisted Planning in Craniofacial Surgery

Author : Amir H Dorafshar
Publisher : Elsevier Health Sciences
Page : 342 pages
File Size : 36,23 MB
Release : 2023-11-21
Category : Medical
ISBN : 0323826695

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Recent advances in both scanning instruments and supporting software have made intraoperative 3D imaging a reality in today’s plastic and reconstructive surgery. Computer-Assisted Planning in Craniofacial Surgery provides authoritative, state-of-the-art information on when and how to apply technologies such as virtual planning, stereolithography, and navigation in the practice of craniofacial surgery. This unique, clinically focused title discusses the history and evolution of current techniques, extensively covers the application of current technologies, and includes multidisciplinary perspectives throughout, providing a comprehensive, holistic view of this important topic. Follows a standard format in each chapter: history of the topic, current literature and applications, key steps and techniques of virtual planning and navigation (with video), and pearls/pitfalls shared by a master surgeon with expertise in each particular area. Includes preoperative photographs and postoperative results, radiological and computerized imaging, and clinical photos throughout. Covers potential complications to be aware of in the postoperative period. Offers expert perspectives on computer-assisted planning from surgeons, physicists, engineers, and other industry leaders. Additional digital ancillary content may publish up to 6 weeks following the publication date.

Computer-Aided Oral and Maxillofacial Surgery

Author : Jan Egger
Publisher : Academic Press
Page : 284 pages
File Size : 13,8 MB
Release : 2021-04-29
Category : Computers
ISBN : 0128234237

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Computer-Aided Oral and Maxillofacial Surgery: Developments, Applications, and Future Perspectives is an ideal resource for biomedical engineers and computer scientists, clinicians and clinical researchers looking for an understanding on the latest technologies applied to oral and maxillofacial surgery. In facial surgery, computer-aided decisions supplement all kind of treatment stages, from a diagnosis to follow-up examinations. This book gives an in-depth overview of state-of-the-art technologies, such as deep learning, augmented reality, virtual reality and intraoperative navigation, as applied to oral and maxillofacial surgery. It covers applications of facial surgery that are at the interface between medicine and computer science. Examples include the automatic segmentation and registration of anatomical and pathological structures, like tumors in the facial area, intraoperative navigation in facial surgery and its recent developments and challenges for treatments like zygomatic implant placement. Provides comprehensive, state-of-the-art knowledge of interdisciplinary applications in facial surgery Presents recent algorithmic developments like Deep Learning, along with recent devices in augmented reality and virtual reality Includes clinical knowledge of two facials surgeons who give insights into the current clinical practice and challenges of facial surgeons in university hospitals in Austria and China

Innovations and New Developments in Craniomaxillofacial Reconstruction

Author : Julio Acero
Publisher : Springer Nature
Page : 235 pages
File Size : 21,71 MB
Release : 2021-07-07
Category : Medical
ISBN : 3030743225

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This book provides a comprehensive review of the new technologies that are having a tremendous impact on the complex field of craniomaxillofacial reconstructive surgery. Readers will find detailed information on the technologies themselves, their indications, and their benefits. The coverage encompasses the use of biomaterials and tissue engineering, virtual planning and CAD/CAM techniques, the various applications of computer-assisted surgery, and intraoperative navigation. Robotic surgery, endoscopic approaches, and piezoelectric surgery are each addressed within individual chapters. New developments in craniofacial pediatric surgery are discussed, and the book concludes by examining the present and future of facial transplantation. The text is supported by numerous high-quality color illustrations, and the team of authors comprises prestigious international leaders in the specialty. The book will be of value for all who are interested in learning about the innovations and developments that are reducing morbidity and improving outcomes in patients who require craniomaxillofacial reconstruction.

Spina Bifida and Craniosynostosis

Author : Branislav Kolarovszki
Publisher : BoD – Books on Demand
Page : 174 pages
File Size : 25,93 MB
Release : 2021-06-23
Category : Medical
ISBN : 1839629509

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This book is a comprehensive overview of spina bifida and craniosynostosis with emphasis on new trends in the management of these diseases. Chapters on spina bifida cover such topics as the etiology and pathophysiology of caudal neural tube defects, the overall management of pediatric patients with spina bifida, surgical treatment, and urological and orthopedic care. The chapters on craniosynostosis present new technologies of surgical treatment, craniomaxillofacial corrective surgery, and telescoping techniques with multiple cranial osteotomies.

Oral and Maxillofacial Surgery for the Clinician

Author : Krishnamurthy Bonanthaya
Publisher : Springer Nature
Page : 1965 pages
File Size : 32,92 MB
Release : 2021
Category : Face
ISBN : 9811513465

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This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with "future perspective" and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic.