A novel approach to skull-base and orbital osteotomies through virtual planning and navigation

The Laryngoscope
Leonardo FranzMassimo Robiony

Abstract

Computer-assisted planning of osteotomy lines, coupled with navigation-guided performance of planned osteotomies, is a highly innovative approach to skull-base and orbital surgery. The aim of this pilot study is to provide an assessment of the accuracy of this novel approach in guiding the correct positioning of osteotomy lines in frontal, temporal, and orbital regions, defining the agreement between the spatial position of the planned and performed osteotomies. Fifteen patients with orbital, frontal sinus, and lateral skull-base diseases underwent virtual surgical planning. Osteotomies to access the orbit, frontal sinus, and lateral skull base were planned on computer tomography-based three-dimensional models. The planned osteotomies were reproduced on the operating field using a navigation system. The positions of the performed and planned osteotomies were compared. The results were described as the mean positional difference between planned and performed osteotomies and as Lin's concordance coefficient, and Bland-Altman limits of agreement were also defined. The overall mean difference was 0.719 mm (95% confidence interval [CI]: 0.472 to 0.965 mm). Overall, Lin's concordance coefficient was 0.997 (95% CI: 0.996 to 0.998), an...Continue Reading

References

Dec 1, 2001·Otolaryngologic Clinics of North America·R A WeismanJ D Osguthorpe
Jan 11, 2007·Current Opinion in Otolaryngology & Head and Neck Surgery·Martin J Citardi, Pete S Batra
Jun 30, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Marc Christian MetzgerBrad Strong
Jul 7, 2007·Journal of Biopharmaceutical Statistics·J Martin Bland, Douglas G Altman
Jul 25, 2008·The Journal of Craniofacial Surgery·Alexander SchrammNils-Claudius Gellrich
Jul 7, 2009·International Journal of Oral and Maxillofacial Surgery·H B YuY P Lin
Apr 13, 2010·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Matthias FeichtingerHans Kärcher
Apr 5, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Robin SeebergerGeorg Eggers
Apr 16, 2011·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Michael R MarkiewiczR Bryan Bell
Aug 3, 2011·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Shilei ZhangBing Xu
Jul 10, 2012·Magnetic Resonance Imaging·Andriy FedorovRon Kikinis
May 8, 2013·The Laryngoscope·Brian T AndrewsJames P Bradley
Sep 21, 2013·The British Journal of Oral & Maxillofacial Surgery·Max J ZinserJoachim E Zöller
Oct 8, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Haijun GuiShilei Zhang
Oct 10, 2013·The Laryngoscope·Stephan K HaerleJonathan C Irish
Nov 19, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Yang HeChuan-bin Guo
Nov 19, 2013·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Max J ZinserJoachim E Zöller
Nov 8, 2014·Craniomaxillofacial Trauma & Reconstruction·Marius BredellAstrid Kruse Gujer
Dec 3, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Giorgio NovelliDavide Sozzi
May 20, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Majeed RanaNils-Claudius Gellrich
Jun 26, 2015·Biochemia Medica·Davide Giavarina
Jul 19, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Wen-Bo ZhangXin Peng
Sep 15, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Jean-Christophe LutzLuc Soler
Oct 1, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Moritz BergerRobin Seeberger
Oct 12, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Leander DuboisAlfred G Becking
Oct 12, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Leander DuboisAlfred G Becking
Oct 12, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Leander DuboisAlfred G Becking
Nov 26, 2015·The Journal of Craniofacial Surgery·Guowen SunQingang Hu
Jun 6, 2017·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Leonardo FranzMassimo Robiony
Sep 25, 2017·The Laryngoscope·Laura Garcia-Rodriguez, John Craig

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Citations

Jan 11, 2020·Ophthalmic Plastic and Reconstructive Surgery·Yiping ZhaoYuan Deng
Aug 31, 2020·Laryngoscope Investigative Otolaryngology·Maximilian LinxweilerBernhard Schick
Jul 25, 2019·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Alessandro TelMassimo Robiony
Jan 7, 2022·Operative Neurosurgery·Leonardo FranzElisabetta Zanoletti

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