Learning condyle repositioning during orthognathic surgery with a surgical navigation system

被引：5

作者：

Lartizien, R. ^{[1
,2
,3
]}

Zaccaria, I ^{[4
]}

Savoldelli, C. ^{[5
]}

Noyelles, L. ^{[1
]}

Chamorey, E. ^{[6
]}

Cracowski, J. L. ^{[2
,7
]}

Bettega, G. ^{[1
]}

机构：

[1] Annecy Genevois Hosp, Maxillofacial Surg Dept, 1 Ave Hop, F-74370 Epagny Metz Tessy, France

[2] Univ Grenoble Alpes, Med Fac, 23 Ave Maquis du Gresivaudan, F-38700 La Tronche, France

[3] Univ Hosp Grenoble, Maxillofacial & Plast Surg Dept, 23 Ave Maquis du Gresivaudan, F-38700 La Tronche, France

[4] Annecy Genevois Hosp, Clin Res Dept, 1 Ave Hop, F-74370 Epagny Metz Tessy, France

[5] Univ Hosp Nice, Oral & Maxillofacial Surg Head & Neck Inst, Nice, France

[6] Antoine Lacassagne Ctr, Epidemiol & Biostat Unit, Nice, France

[7] CHU Grenoble Alpes, Clin Pharmacol Unit, INSERM CIC1406, F-38000 Grenoble, France

来源：

INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY | 2019年 / 48卷 / 07期

关键词：

orthognathic surgery; computer-assisted surgery; condyle repositioning; surgical education; medical education; SAGITTAL SPLIT OSTEOTOMY; VIRTUAL-REALITY; RELIABILITY; EDUCATION; SKILLS;

D O I：

10.1016/j.ijom.2019.01.018

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Condyle repositioning during bilateral sagittal splint osteotomy (BSSO) is a challenging step for the inexperienced surgeon. We aimed to demonstrate the benefit of navigation for learning the condyle repositioning. We treated 100 patients who underwent a BSSO. A trainee performed the condyle repositioning of one side in two phases. In the first one, the trainee positioned without watching the screen of the Orthopilot Navigation system (ONS). In the second one, the trainee could use the ONS to replace the condyle. Heuristic, anatomical and functional scores of each phase were recorded. Heuristic (17% vs. 75%; p < 0.0001), anatomical (35% vs. 86%; p < 0.0001) and functional (14% vs. 56%; p < 0.0001) scores were significantly greater with the ONS. The ONS is a promising and original intraoperative learning tool for the repositioning of the condyle during BSSO.

引用

页码：952 / 956

页数：5

共 18 条

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