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Computer-Assisted 3D Reconstruction in Oral and Maxillofacial Surgery

  • Mathias Martinez CoronelEmail author
  • Ismail Farag
  • Nabil A. Shallik
Chapter

Abstract

Cranio-maxillofacial surgery (CMF) represents a broad range of sub-specialties, such as maxillofacial oncological surgery (resection of tumors and reconstruction of the site with different types of grafts), craniofacial corrective surgery of malformations associated to syndromes (i.e., craniosynostoses, or cleft lip palate), orthognathic surgery and distraction osteogenesis (to correct craniofacial deformities), cranio-maxillofacial trauma surgery and associated reconstructive maxillofacial surgery, and implantology. Surgical engineering in CMF surgery is present at all levels of the CMF clinical workflow, from diagnostic tools to preoperative planning, intraoperative guidance, and transfer of preoperative planning to the operative theater.

Virtual endoscopy (VE) and 3-D reconstruction can generate 3-D printed models from cranio-maxillofacial structures (soft and hard tissues) that can be used for preoperative planning, intraoperative navigation, and postoperative control. Surgery can be planned with these models with highly valuable information as the soft and hard tissue can be measured using the mirrored data set of the unaffected side; size and location of the graft can be chosen virtually. Intraoperatively, contours of transplanted tissues can be navigated to the preoperatively simulated reconstructive result. Preoperatively outlined safety margins could be exactly controlled during tumor resection. Reconstructions of oncologic and trauma patients can be designed and performed precisely as virtually planned.

Keywords

3-D printed models Cranio-maxillofacial structures Frameless stereotaxy Image-guided navigation Periorbital reconstruction computer-assisted 3D reconstruction 

Supplementary material

Video 7.1

Movie showed reconstructed images resembling orthopantomogram-like images (OPG-panoramic view) using curved MPR technique (MOV 2845 kb)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mathias Martinez Coronel
    • 1
    • 2
    Email author
  • Ismail Farag
    • 1
  • Nabil A. Shallik
    • 3
    • 4
    • 5
  1. 1.Craniomaxillofacial DepartmentHamad Medical CorporationDohaQatar
  2. 2.Universidad de Carabobo, School of DentistryValenciaVenezuela
  3. 3.Department of Clinical AnesthesiologyWeill Cornell Medical College in Qatar (WCMQ)DohaQatar
  4. 4.Department of Anesthesiology, ICU and Perioperative MedicineHamad Medical CorporationDohaQatar
  5. 5.Department of Anesthesia and Surgical Intensive Care, Faculty of MedicineTanta UniversityTantaEgypt

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