Advances in oncologic head and neck reconstruction: Systematic review and future considerations of virtual surgical planning and computer aided design/computer aided modeling

Rodby, Katherine A.; Turin, Sergey Y.; Jacobs, Robert S.; Cruz, Janet F.; Hassid, Victor Joseph; Kolokythas, Antonio; Antony, Anuja K.

doi:10.1016/j.bjps.2014.04.038

Cited by 199 publications

(174 citation statements)

References 37 publications

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“…The traditional technique is experiencedependent, necessitates intraoperative trial and error, and is difficult for the less-experienced surgeon 15 ; however, it has a larger reconstruction picture with more connected dots; therefore, it may have broader application. It could be "the master's mind in action" and more suitable for the experienced surgeon for the time being.…”

Section: Is It Computer-aided Surgery or The Free-hand Technique Thatmentioning

confidence: 99%

“…1,2,8,15 Three phases are conducted in order: phase 1 is virtual planning and design, phase 2 is modeling and rapid prototyping, and phase 3 is surgical execution. Some authors have added a fourth phase for evaluation.…”

Section: Is It Computer-aided Surgery or The Free-hand Technique Thatmentioning

confidence: 99%

“…[23][24][25][26][27] However, these factors appear to be omitted in both the virtual and surgical phases of computer-aided reconstruction. 1,2,8,10,15 That being said, the authors believe that the computer-aided design and modeling perspective on the challenges associated with segmental mandibular reconstruction is not broad enough, and more dots to connect are needed. Steve Jobs believes that "[t]he broader one's understanding of the human experience, the better design we will have," 28 and the authors agree that a thorough and complete understanding of the complexity of the reconstruction should inspire the design of new software.…”

mentioning

confidence: 98%

“…1,6,7,10,13 Unlike the traditional method or the free-hand technique, which relies on two-dimensional models, computer-aided reconstruction uses virtual three-dimensional models for simulation surgery, which is theoretically more capable of transferring the plan from the virtual mode into the clinical one, resulting in seamless, symmetrical osseous reconstruction. 5,15,16,18,20,21 However, in oncologic reconstruction and in some maxillofacial trauma, for example, recipient vessels and pedicle reach, oral lining and skin deficiency, and the equivalent osseous defect (isolated, compound, composite, and extensive composite mandibular defects), volume restoration/ augmentation and adjunct trismus release (bony and soft tissue release), location and type of the skin vessels supplying the osteoseptocutaneous fibula flap skin paddle, and the vascular pedicle of the soleus muscle are important for the success of segmental mandibular reconstruction. [23][24][25][26][27] However, these factors appear to be omitted in both the virtual and surgical phases of computer-aided reconstruction.…”

mentioning

confidence: 98%

“…[1][2][3][4][5][7][8][9][10][11][12][13][14][15] Benefits of using the new technology could be improved surgical precision; decreased operative time, cost, and complications; and enhanced outcomes, with a gentle learning curve. 6,8,10,11,[16][17][18] For segmental mandibular reconstruction, the unique and three-dimensional parabolic shape of the mandible is difficult to construct from a flat, short bone such as the fibula, 19,20 the workhorse vascularized bone graft at the present time.…”

mentioning

confidence: 99%

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Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Deek

Wei

2016

Plastic and Reconstructive Surgery

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Virtual surgical planning and computer-aided design and computer-aided modeling are promising technologies with a growing trend in contemporary head and neck reconstruction. Segmental mandibular reconstruction with the osteoseptocutaneous fibula flap is one of the fields in which these technologies are increasingly used. Perceived benefits are increased surgical precision, improved operative efficiency, and overall good outcomes. Nevertheless, these programs do not cover the reconstruction picture of interest thoroughly, at least in the mind of the experienced surgeon. Based on extensive experience in segmental mandibular reconstruction and comprehensive literature review, the authors attempted to identify missing dots in computer-aided mandibular reconstruction; when possible, a problem-solution approach was taken. Of these dots, pedicle reach to the recipient vessels, multiple target soft-tissue reconstruction, anatomical variations and cross-section topography of the osteoseptocutaneous fibula flap, and intraoperative modification of the surgical plan were understated or not considered in the phases of virtual surgical planning and execution. Moreover, with the relatively small experience reported in computer-aided segmental mandibular reconstruction compared with the well-appreciated challenges, further discussion of what could be a realistic and safe indication was deemed necessary. Following in the footsteps of the iPhone developer of creating software satisfying to customers (i.e., surgeons) first and armed with the evidence from the literature and accumulation of experience, this Special Topic article aims to provoke a discussion among experts in this field to instigate ideological and technological reforms in computer-aided mandibular reconstruction.

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Section: Is It Computer-aided Surgery or The Free-hand Technique Thatmentioning

confidence: 99%

Section: Is It Computer-aided Surgery or The Free-hand Technique Thatmentioning

confidence: 99%

mentioning

confidence: 98%

mentioning

confidence: 98%

mentioning

confidence: 99%

See 3 more Smart Citations

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Deek

Wei

2016

Plastic and Reconstructive Surgery

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Virtual Surgical Planning

Futran

2021

JAMA Otolaryngol Head Neck Surg

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Admittance‐Controlled Robotic Assistant for Fibula Osteotomies in Mandible Reconstruction Surgery

Cheng

Carriere

Piwowarczyk

et al. 2020

Advanced Intelligent Systems

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Herein, a semiautonomous robot control system for mandible reconstruction surgery is proposed. To reconstruct a segmental defect of the mandible caused by cancerous tissue, a piece of matched fibula bone is often segmented and used to replace the removed mandible section. Herein, to provide guidance to the surgeon during fibula segmentation according to the reconstruction surgical plan and improve the fibula bone cutting accuracy, an admittance‐controlled robotic assistant incorporating 3D augmented reality (AR) visualization and haptic virtual fixtures (VFs) is proposed. The admittance controller is used to reduce the surgeon's hand tremor. VF and AR are used to provide haptic and visual guidance to the surgeon, respectively. A feasibility study is conducted through a comparison of fibula osteotomies when performed with image‐guided surgery, AR‐guided surgery, VF‐guided robot‐assisted surgery, and AR‐ and VF‐guided robot‐assisted surgery. Experimental results show the effectiveness of the proposed admittance‐controlled robotic assistant with AR and VF compared with the other three methods. The proposed method is found to be able to increase precision of the osteotomized segments with a lower average linear variation of 1.04 ± 0.79 mm and a lower average angular variation of 1.83 ± 1.85° compared with the virtual preoperative plan.

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Advances in oncologic head and neck reconstruction: Systematic review and future considerations of virtual surgical planning and computer aided design/computer aided modeling

Cited by 199 publications

References 37 publications

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Computer-Assisted Surgery for Segmental Mandibular Reconstruction with the Osteoseptocutaneous Fibula Flap

Virtual Surgical Planning

Admittance‐Controlled Robotic Assistant for Fibula Osteotomies in Mandible Reconstruction Surgery

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