The use of navigation (BrainLAB Vector vision(2)) and intraoperative 3D imaging system (Siemens Arcadis Orbic 3D) in the treatment of gunshot wounds of the maxillofacial region

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The use of navigation (BrainLAB Vector vision(2)) and intraoperative 3D imaging system (Siemens Arcadis Orbic 3D) in the treatment of gunshot wounds of the maxillofacial region. / Gröbe, Alexander; Weber, Christoph; Schmelzle, Rainer; Heiland, Max; Klatt, Jan; Pohlenz, Philipp.

in: ORAL MAXILLOFAC SURG, Jahrgang 13, Nr. 3, 01.09.2009, S. 153-8.

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@article{1e161250a0074ef3a72b96a11e939903,
title = "The use of navigation (BrainLAB Vector vision(2)) and intraoperative 3D imaging system (Siemens Arcadis Orbic 3D) in the treatment of gunshot wounds of the maxillofacial region",
abstract = "PURPOSE: Gunshot wounds are a rare occurrence during times of peace. The removal of projectiles is recommended; in some cases, however, this is a controversy. The reproduction of a projectile image can be difficult if it is not adjacent to an anatomical landmark. Therefore, navigation systems give the surgeon continuous real-time orientation intraoperatively. The aim of this study was to report our experiences for image-guided removal of projectiles and the resulting intra- and postoperative complications.PATIENTS AND METHODS: We investigated 50 patients retrospectively; 32 had image-guided surgical removal of projectiles in the oral and maxillofacial region. Eighteen had surgical removal of projectiles without navigation assistance.RESULTS: There was a significant correlation (p = 0.0136) between the navigated surgery vs. not-navigated surgery and complication rate, including major bleeding (n = 4 vs. n = 1, 8% vs. 2%), soft tissue infections (n = 7 vs. n = 2, 14% vs. 4%), and nerval damage (n = 2 vs. n = 0, 4% vs. 0%; p = 0.038) and between the operating time and postoperative complications. A high tendency between operating time and navigated surgery (p = 0.1103) was shown. When using navigation system, we could reduce operating time.CONCLUSION: In conclusion, there is a significant correlation between reduced intra- and postoperative complications, including wound infections, nerval damage, and major bleeding, and the appropriate use of a navigation system. In all these cases, we could present reduced operating time. Cone-beam computed tomography plays an important role in detecting projectiles or metallic foreign bodies intraoperatively.",
keywords = "Adolescent, Adult, Aged, Cone-Beam Computed Tomography, Female, Foreign Bodies, Humans, Imaging, Three-Dimensional, Male, Maxillofacial Injuries, Middle Aged, Oral Surgical Procedures, Postoperative Complications, Retrospective Studies, Surgery, Computer-Assisted, Time Factors, Wounds, Gunshot, Young Adult",
author = "Alexander Gr{\"o}be and Christoph Weber and Rainer Schmelzle and Max Heiland and Jan Klatt and Philipp Pohlenz",
year = "2009",
month = sep,
day = "1",
doi = "10.1007/s10006-009-0166-4",
language = "English",
volume = "13",
pages = "153--8",
journal = "ORAL MAXILLOFAC SURG",
issn = "1865-1550",
publisher = "Springer",
number = "3",

}

RIS

TY - JOUR

T1 - The use of navigation (BrainLAB Vector vision(2)) and intraoperative 3D imaging system (Siemens Arcadis Orbic 3D) in the treatment of gunshot wounds of the maxillofacial region

AU - Gröbe, Alexander

AU - Weber, Christoph

AU - Schmelzle, Rainer

AU - Heiland, Max

AU - Klatt, Jan

AU - Pohlenz, Philipp

PY - 2009/9/1

Y1 - 2009/9/1

N2 - PURPOSE: Gunshot wounds are a rare occurrence during times of peace. The removal of projectiles is recommended; in some cases, however, this is a controversy. The reproduction of a projectile image can be difficult if it is not adjacent to an anatomical landmark. Therefore, navigation systems give the surgeon continuous real-time orientation intraoperatively. The aim of this study was to report our experiences for image-guided removal of projectiles and the resulting intra- and postoperative complications.PATIENTS AND METHODS: We investigated 50 patients retrospectively; 32 had image-guided surgical removal of projectiles in the oral and maxillofacial region. Eighteen had surgical removal of projectiles without navigation assistance.RESULTS: There was a significant correlation (p = 0.0136) between the navigated surgery vs. not-navigated surgery and complication rate, including major bleeding (n = 4 vs. n = 1, 8% vs. 2%), soft tissue infections (n = 7 vs. n = 2, 14% vs. 4%), and nerval damage (n = 2 vs. n = 0, 4% vs. 0%; p = 0.038) and between the operating time and postoperative complications. A high tendency between operating time and navigated surgery (p = 0.1103) was shown. When using navigation system, we could reduce operating time.CONCLUSION: In conclusion, there is a significant correlation between reduced intra- and postoperative complications, including wound infections, nerval damage, and major bleeding, and the appropriate use of a navigation system. In all these cases, we could present reduced operating time. Cone-beam computed tomography plays an important role in detecting projectiles or metallic foreign bodies intraoperatively.

AB - PURPOSE: Gunshot wounds are a rare occurrence during times of peace. The removal of projectiles is recommended; in some cases, however, this is a controversy. The reproduction of a projectile image can be difficult if it is not adjacent to an anatomical landmark. Therefore, navigation systems give the surgeon continuous real-time orientation intraoperatively. The aim of this study was to report our experiences for image-guided removal of projectiles and the resulting intra- and postoperative complications.PATIENTS AND METHODS: We investigated 50 patients retrospectively; 32 had image-guided surgical removal of projectiles in the oral and maxillofacial region. Eighteen had surgical removal of projectiles without navigation assistance.RESULTS: There was a significant correlation (p = 0.0136) between the navigated surgery vs. not-navigated surgery and complication rate, including major bleeding (n = 4 vs. n = 1, 8% vs. 2%), soft tissue infections (n = 7 vs. n = 2, 14% vs. 4%), and nerval damage (n = 2 vs. n = 0, 4% vs. 0%; p = 0.038) and between the operating time and postoperative complications. A high tendency between operating time and navigated surgery (p = 0.1103) was shown. When using navigation system, we could reduce operating time.CONCLUSION: In conclusion, there is a significant correlation between reduced intra- and postoperative complications, including wound infections, nerval damage, and major bleeding, and the appropriate use of a navigation system. In all these cases, we could present reduced operating time. Cone-beam computed tomography plays an important role in detecting projectiles or metallic foreign bodies intraoperatively.

KW - Adolescent

KW - Adult

KW - Aged

KW - Cone-Beam Computed Tomography

KW - Female

KW - Foreign Bodies

KW - Humans

KW - Imaging, Three-Dimensional

KW - Male

KW - Maxillofacial Injuries

KW - Middle Aged

KW - Oral Surgical Procedures

KW - Postoperative Complications

KW - Retrospective Studies

KW - Surgery, Computer-Assisted

KW - Time Factors

KW - Wounds, Gunshot

KW - Young Adult

U2 - 10.1007/s10006-009-0166-4

DO - 10.1007/s10006-009-0166-4

M3 - SCORING: Journal article

C2 - 19669177

VL - 13

SP - 153

EP - 158

JO - ORAL MAXILLOFAC SURG

JF - ORAL MAXILLOFAC SURG

SN - 1865-1550

IS - 3

ER -