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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

Inactive Publication Date: 2019-01-01
PEKING UNIV SCHOOL OF STOMATOLOGY
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0005] (1) Existing treatment of old zygomatic fractures, for severe deformity, it may be necessary to cut the fracture line and reposition, for old zygomatic fractures, due to fracture line dislocation and loss of normal anatomical landmarks formed by bone remodeling, it is very difficult Difficulty determining the correct position of the cheekbones
[0006] (2) Due to the lack of surgical reduction reference for old zygomatic fractures, accurate treatment is difficult
[0009] 1. The shape of the zygoma itself is irregular, and there are no obvious anatomical markers on its surface, and there is no obvious pore-like structure that can be located;
[0010] 2. Delayed treatment leads to dislocation of the fracture line and healing, and anatomical reduction cannot be achieved by matching the fracture line
The lack of anatomical marks directly leads to no clear reference for surgical reduction, and the traditional treatment is not effective

Method used

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  • Computer-aided navigation method for accurate treatment of old zygomatic fracture
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  • Computer-aided navigation method for accurate treatment of old zygomatic fracture

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Experimental program
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Effect test

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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Abstract

The invention belongs to the technical field of computer-aided design, and discloses a computer-aided navigation method for accurate treatment of old zygomatic fracture. The method includes the following steps: based on 3D image construction and segmentation, preoperative CT data is input to computer-aided surgical design software for the 3D reconstruction and segmentation of a maxillofacial region, and main fractured bone segments are separated and named separately; surface marker points are created on the surfaces of the bone segments and positioned, there is at least one marker point on each bone segment, at least four markers are used for the whole zygomatic fracture, each bone segment is fused with the cylindrical marker points thereof, and data is imported into the surgical navigation design software and fused into a file to obtain a surface marker point positioning navigation plan; step-by-step control reduction is carried out on the healthy side data according to the midline image of the face to form a navigation reduction plan; and finally, an operation is carried out according to the navigation marker point positioning plan and the navigation reduction plan.

Description

technical field [0001] The invention belongs to the technical field of computer-aided design, in particular to a computer-aided navigation method for accurately treating old zygomatic fractures. Background technique [0002] At present, the existing technologies commonly used in the industry are as follows: In the midface, the prominent facial position of the zygomatic complex makes it frequently injured. Fractures of the zygomatic complex can lead to displacement of the zygoma and zygomatic arch, causing functional and aesthetic problems such as limited mouth opening and facial asymmetry. Surgical reduction and fixation of fresh fractures can correct most of these problems. However, if treatment is delayed or insufficient reduction can result in secondary deformities. Mild aesthetic concerns can be treated with allograft grafts, such as polyethylene. However, for severe deformities, the fracture line may need to be amputated and repositioned. [0003] For old zygomatic...

Claims

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Application Information

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IPC IPC(8): G16H20/40
CPCG16H20/40
Inventor 贺洋张益
Owner PEKING UNIV SCHOOL OF STOMATOLOGY
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