The role of 3D computing planning in maxillofacial surgery

master's thesis

• Title (croatian): Uloga 3D kompjuterskog planiranja u maksilofacijalnoj kirurgiji
• Author: Alban Gecaj
• Mentor: Emil Dediol (mentor)
• Committee member: Emil Dediol (predsjednik povjerenstva)
• Committee member: Ivica Lukšić (član povjerenstva)
• Committee member: ŽELJKO ORIHOVAC (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2022-02-04, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

The role of 3D computing in reconstructive surgery is still not clearly established, yet the advancements of virtual surgical planning (VSP) and its implementation for various indications is slowly elucidating its purpose.
VSP consist of multiple techniques which are being used to complement surgery in its planning stage as well as during it. Such techniques can be divided into computer assisted surgery (CAS), computer assisted design (CAD) and computer assisted manufacturing (CAM). Depending on the case there is a vast array of reconstruction methods that can be employed. Its usage depends on specifics of the case and the result of the VSP. The team UHD used titanium mesh and reconstruction plates, templates, intraoperative navigation, osteotomy guides as wells as flap guides for the different indications necessitating reconstructive surgery. Those indications are grouped into five categories: reconstruction of the mandible, reconstruction of the maxilla, correction of jaw deformities, reconstruction of the orbit and miscellaneous indications. The experienced benefits were, increased accuracy, decreased intraoperative time and overall increased satisfaction with the results due to the usage of 3D computing.

Abstract (croatian)

Uloga 3D kompjuterskog planiranja u rekonstruktivnoj kirurgiji još uvijek nije jasno utvrđena, ali napredak virtualnog kirurškog planiranja (VSP) i njegova implementacija za različite indikacije polako rasvjetljava njegovu svrhu.
VSP se sastoji od više tehnika koje se koriste kao dopuna kirurgiji u fazi planiranja kao i tijekom nje. Takve se tehnike mogu podijeliti na računalno potpomognutu kirurgiju (CAS), računalno potpomognuto projektiranje (CAD) i računalno potpomognutu proizvodnju (CAM). Ovisno o slučaju, postoji širok raspon metoda rekonstrukcije koje se mogu primijeniti. Njegova uporaba ovisi o specifičnostima slučaja i rezultatu VSP-a. Tim Kliničke bolnice Dubrava koristio je titansku mrežicu i rekonstruktivne titanske ploče, intraoperativnu navigaciju, razne vodilice za osteotomiju kao i vodilice za oblikovanje režnja. Te su indikacije grupirane u 5 kategorija: rekonstrukcija mandibule, rekonstrukcija maksile, korekcija deformiteta čeljusti, rekonstrukcija orbite i razne indikacije. Prednosti virtulanog kirurškog planiranja bile su povećana točnost, skraćeno intraoperativno vrijeme i ukupno povećano zadovoljstvo rezultatima zbog korištenja 3D kompjuterskog planiranja.

• Keywords: VSP; CAS; CAD; CAM; reconstructive surgery; 3D planning
• Keywords (croatian): VSP; CAS; CAD; CAM; rekonstruktivna kirurgija; 3D planiranje
• Language: english
• URN:NBN: urn:nbn:hr:105:595720
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-12-19 09:46:46