Computer-aided navigation method for accurate treatment of old zygomatic fracture
A computer-aided, zygomatic fracture technology, applied in the direction of mechanical/radiation/invasive treatment, etc., can solve the problems of inability to match the fracture line to anatomical reduction, no clear reference for surgical reduction, and difficulty in determining the correct position of the zygomatic bone, etc. The effect of simple preoperative design, simple and easy navigation, and precise orbital morphology
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Embodiment 1
[0036] In the present invention, 6 patients with unilateral old zygoma and zygomatic arch fractures were treated with a new navigation reset method, that is, zygomatic body surface marker-assisted navigation method, and two computer measurement methods were used to evaluate the therapeutic effect and Navigation accuracy.
[0037] 1. Patients and methods
[0038] 1.1 Patients
[0039] From May 2011 to August 2011, 6 patients with old fractures of zygomatic bone and zygomatic arch were treated in Trauma Center of Peking University School of Stomatology, 5 males and 1 female, aged 33-60 years (average 42.8 years old) . The time interval from injury to operation was 31-246 days (74.5 days on average). Five patients were injured as a result of a motor vehicle accident and 1 as a result of a violent injury (Table 1).
[0040] Table 1: Basic information of patients
[0041]
[0042] 1.2 Method
[0043] All patients were collected preoperative spiral CT data (BrightSpeed, GE ...
Embodiment 2
[0113] First, 24 patients with unilateral old zygomatic fractures who needed surgical correction were selected, and a 1:1 matched case-control retrospective study was used to divide the patients into a research group (navigation surgery group, 12 cases) and a control group (traditional surgery group). group, 12 cases). The curative effects of the two treatments were evaluated by postoperative CT measurement, postoperative self-assessment of patient satisfaction and clinical examination. The results showed that the differences in bilateral zygomatic protrusion and width (1.58mm, 1.47mm) in the surgical navigation group were significantly smaller than those in the traditional surgery group (3.58mm, 3.63mm). Postoperative subjective evaluation also showed that the surgical navigation group had significantly better therapeutic effects. Then we also collected patients with unilateral old zygomatic fractures and divided them into surgical guide group (three-dimensional head model co...
Embodiment 3
[0117] A single-factor, single-blind, prospective, randomized controlled clinical study on surgical navigation system assistance for unilateral zygomatic old fractures. The clinical effect observers were blinded, and the application of the surgical navigation system was the single factor.
[0118]According to the impact of fracture type, gender, injury time, etc., the randomized control was divided into two groups in a 1:1 ratio. One group was treated with traditional methods or other adjuvant treatment methods, and the other group was treated with surgical navigation system adjuvant treatment. The time span was 3 years, a total of 103 patients with old unilateral zygomatic fractures were included, and finally 78 patients completed the entire clinical study. The therapeutic effect was evaluated by subjective and objective methods after operation.
[0119] The postoperative CT measurement showed that the postoperative zygomatic symmetry evaluation in the navigation group was si...
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