Three-dimensional virtual surgical planning in the oncologic treatment of the mandible

J Kraeima*, H H Glas, B J Merema, A Vissink, F K L Spijkervet, M J H Witjes

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

OBJECTIVES: In case of surgical removal of oral squamous cell carcinomas, a resection of mandibular bone is frequently part of the treatment. Nowadays, such resections frequently include the application of 3D virtual surgical planning (VSP) and guided surgery techniques. In this paper current methods for 3D VSP, leads for optimisation of the workflow, and patient specific application of guides and implants are reviewed.

RECENT FINDINGS: Current methods for 3D VSP enable multi-modality fusion of images. This fusion of images is not restricted to a specific software package or workflow. New strategies for 3D VSP in Oral and Maxillofacial Surgery include finite element analysis, deep learning and advanced augmented reality techniques. These strategies aim to improve the treatment in terms of accuracy, predictability and safety.

CONCLUSIONS: Application of the discussed novel technologies and strategies will improve the accuracy and safety of mandibular resection and reconstruction planning. Accurate, easy-to-use, safe and efficient three-dimensional VSP can be applied for every patient with malignancies needing resection of the mandible.

Original languageEnglish
Pages (from-to)14-20
Number of pages7
JournalOral diseases
Volume27
Issue number1
Early online date3-Sep-2020
DOIs
Publication statusPublished - Jan-2021

Keywords

  • CAD/CAM
  • data fusion
  • head and neck cancer
  • mandible
  • optimisation
  • virtual surgical planning

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