Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-24T07:50:49.515Z Has data issue: false hasContentIssue false
  • English
  • Français

Safe and rapid contouring of fibro-osseous lesions in the orbital area using navigation with minimally invasive cranial bone registration

Published online by Cambridge University Press:  23 February 2015

K Kamizono ,
S Yoshida ,
B Cho ,
N Matsumoto ,
J Fukushima ,
M Jinnouchi ,
R Ouchida ,
M Sawatsubashi ,
M Hashizume  and
S Komune
K Kamizono
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
S Yoshida
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
B Cho
Affiliation:
Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan
N Matsumoto*
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
J Fukushima
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, Fukuoka, Japan, Plastic and Reconstructive Surgery, Japanese Red Cross Fukuoka Hospital, Fukuoka, Japan
M Jinnouchi
Affiliation:
Division of Fixed Prosthodontics, Faculty of Dental Sciences, Kyushu University, Fukuoka, Japan
R Ouchida
Affiliation:
Division of Fixed Prosthodontics, Faculty of Dental Sciences, Kyushu University, Fukuoka, Japan
M Sawatsubashi
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
M Hashizume
Affiliation:
Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan
S Komune
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
*
Address for correspondence: Nozomu Matsumoto, Graduate School of Medical Sciences, Department of Otorhinolaryngology, Kyushu University, Fukuoka, Japan Fax: +81 92 642 5685 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Bone contouring is currently the best treatment for fibro-osseous lesions after bone growth arrest. Navigation systems available for this surgery allow intra-operative visualisation with improved cosmetic outcomes. However, conventional navigation systems using superficial skin registration cannot prevent subtle discrepancies.

Method:

To address this problem, we used a non-invasive cranial bone registration that uses patient-specific dental templates to maintain exact registration. We created the preset goal using the mirror image of the unaffected side for unilateral lesions, and using images obtained before the onset of symptoms for bilateral lesions. This system achieved precise pre-operative simulation. A sound aid in the navigation system provided information regarding proximity to critical structures and to the preset goal.

Results:

We used this system to contour fibro-osseous lesions in three patients. All patients achieved good facial contours and improvement in symptoms.

Conclusions:

This method offers a safe, rapid surgical aid in treating orbital fibro-osseous lesions.

Keywords

Fibro-osseous LesionFibrous DysplasiaNavigationRegistration of Cranial BoneSound Aid SystemPre-operative Simulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S2 , March 2015 , pp. S62 - S68
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Part of this study was presented at the 24th Annual Meeting of the Japanese Society for Skull Base Surgery, Makuhari, Japan, 19 June 2014.

References

1Nwizu, NN, Aguire, A, Chen, F. Diagnostic challenges of benign fibro-osseous lesions and psammomatous meningiomas of the craniofacial region: a comparative review of their clinico-pathological features N Am J Med Sci 2010;3:17–23CrossRefGoogle Scholar
2Kusano, T, Hirabayashi, S, Eguchi, T, Sugawara, Y. Treatment strategies for fibrous dysplasia. J Craniofac Surg 2009;20:768–70CrossRefGoogle ScholarPubMed
3Gui, H, Zhang, S, Shen, SG, Wang, X, Bautista, JS, Voss, PJ. Real-time image-guided recontouring in the management of craniofacial fibrous dysplasia. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;116:680–5Google Scholar
4Oeken, J, Torpel, J. The influence of navigation on endoscopic sinus surgery [in German]. HNO 2008;56:151–4, 6–7Google Scholar
5Cho, B, Matsumoto, N, Mori, M, Komune, S, Hashizume, M. Image-guided placement of the Bonebridge [Formula: see text] without surgical navigation equipment. Int J Comput Assist Radiol Surg 2014;9:845–55Google Scholar
6Matsumoto, N, Oka, M, Cho, B, Hong, J, Jinnouchi, M, Ouchida, R et al. Cochlear implantation assisted by noninvasive image guidance. Otol Neurotol 2012;33:1333–8Google Scholar
7Oka, M, Cho, B, Matsumoto, N, Hong, J, Jinnouchi, M, Ouchida, R et al. A preregistered STAMP method for image-guided temporal bone surgery. Int J Comput Assist Radiol Surg 2014;9:119–26CrossRefGoogle ScholarPubMed
8Matsumoto, N. Recent progress in computer-supported surgery – technology to apply navigation surgery to the otological field [in Japanese]. Nihon Jibiinkoka Gakkai Kaiho 2014;117:10–14Google Scholar
9Cho, B, Oka, M, Matsumoto, N, Ouchida, R, Hong, J, Hashizume, M. Warning navigation system using real-time safe region monitoring for otologic surgery. Int J Comput Assist Radiol Surg 2013;8:395–405Google Scholar
10Yu, H, Shen, SG, Wang, X, Zhang, L, Zhang, S. The indication and application of computer-assisted navigation in oral and maxillofacial surgery-Shanghai's experience based on 104 cases. J Craniomaxillofac Surg 2013;41:770–4Google Scholar
11Grauvogel, TD, Grauvogel, J, Arndt, S, Berlis, A, Maier, W. Is there an equivalence of non-invasive to invasive referenciation in computer-aided surgery? Eur Arch Otorhinolaryngol 2012;269:2285–90Google Scholar
12Nowinski, D, Messo, E, Hedlund, A, Hirsch, JM. Computer-navigated contouring of craniofacial fibrous dysplasia involving the orbit. J Craniofac Surg 2011;22:469–72CrossRefGoogle ScholarPubMed
13Osada, Y, Iwasawa, M, Tanaka, Y. Use of image-guiding template for contouring surgery of midfacial fibrous dysplasia. Ann Plast Surg 2007;59:459–63Google Scholar
14Voormolen, EH, Woerdeman, PA, van Stralen, M, Noordmans, HJ, Viergever, MA, Regli, L et al. Validation of exposure visualization and audible distance emission for navigated temporal bone drilling in phantoms. PLoS ONE 2012;7:e41262CrossRefGoogle ScholarPubMed
15Wegner, CM, Karron, DB. Surgical navigation using audio feedback. Stud Health Technol Inf 1997;39:450–8Google Scholar