Intraoperative Surgical Navigation Reduces the Surgical Time Required to Treat Acute Major Facial Fractures
Assessing bone reduction and implant placement in facial fractures is time-consuming because of limited visibility. An intraoperative navigation system allows real-time confirmation of bone positioning and implant placement on the patient's computed tomographic scan. This circumvents the visibi...
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| Veröffentlicht in: | Plastic and reconstructive surgery (1963) 2019-10, Vol.144 (4), p.923-931 |
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| container_title | Plastic and reconstructive surgery (1963) |
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| creator | Bergeron, Léonard Bouchard, Sandrine Bonapace-Potvin, Michelle Bergeron, François |
| description | Assessing bone reduction and implant placement in facial fractures is time-consuming because of limited visibility. An intraoperative navigation system allows real-time confirmation of bone positioning and implant placement on the patient's computed tomographic scan. This circumvents the visibility problem and therefore appears to shorten the surgery time. The goal of this study was therefore to determine whether intraoperative navigation reduces the surgical time required to treat patients with acute major facial fractures.
In this retrospective quasi-experimental study, 50 patients with major facial fractures were identified and randomly assigned to treatment groups. Twenty-two were treated without the use of a navigation system, and 28 were treated using navigation. The Facial frActure Severity Score (FASS) was devised to better assess and control for complexity of cases and control for possible selection bias.
The FASS was directly linked to surgery time, whether or not navigation was used. An analysis of covariance demonstrated that the surgical time required to treat major facial fractures, taking into account the FASS, was reduced by 36.1 percent (124.8 minutes) when navigation was used.
This study compared the surgical time required to treat patients with major facial fractures, with and without a navigation system. The use of a navigation system reduced the surgical time by 36.1 percent. This is a significant improvement in reducing the length of craniomaxillofacial procedures.
Therapeutic, III. |
| doi_str_mv | 10.1097/PRS.0000000000006040 |
| format | Article |
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In this retrospective quasi-experimental study, 50 patients with major facial fractures were identified and randomly assigned to treatment groups. Twenty-two were treated without the use of a navigation system, and 28 were treated using navigation. The Facial frActure Severity Score (FASS) was devised to better assess and control for complexity of cases and control for possible selection bias.
The FASS was directly linked to surgery time, whether or not navigation was used. An analysis of covariance demonstrated that the surgical time required to treat major facial fractures, taking into account the FASS, was reduced by 36.1 percent (124.8 minutes) when navigation was used.
This study compared the surgical time required to treat patients with major facial fractures, with and without a navigation system. The use of a navigation system reduced the surgical time by 36.1 percent. This is a significant improvement in reducing the length of craniomaxillofacial procedures.
Therapeutic, III.</description><identifier>ISSN: 0032-1052</identifier><identifier>EISSN: 1529-4242</identifier><identifier>DOI: 10.1097/PRS.0000000000006040</identifier><identifier>PMID: 31568306</identifier><language>eng</language><publisher>United States: by the American Society of Plastic Surgeons</publisher><subject>Adolescent ; Adult ; Aged ; Facial Bones - injuries ; Facial Bones - surgery ; Female ; Humans ; Injury Severity Score ; Intraoperative Care - methods ; Male ; Middle Aged ; Operative Time ; Retrospective Studies ; Skull Fractures - surgery ; Surgery, Computer-Assisted - methods ; Young Adult</subject><ispartof>Plastic and reconstructive surgery (1963), 2019-10, Vol.144 (4), p.923-931</ispartof><rights>by the American Society of Plastic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4181-1aeb18e00a6207adb63eaf19e5769a98465a41abc979b7c19366429f915d045b3</citedby><cites>FETCH-LOGICAL-c4181-1aeb18e00a6207adb63eaf19e5769a98465a41abc979b7c19366429f915d045b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31568306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bergeron, Léonard</creatorcontrib><creatorcontrib>Bouchard, Sandrine</creatorcontrib><creatorcontrib>Bonapace-Potvin, Michelle</creatorcontrib><creatorcontrib>Bergeron, François</creatorcontrib><title>Intraoperative Surgical Navigation Reduces the Surgical Time Required to Treat Acute Major Facial Fractures</title><title>Plastic and reconstructive surgery (1963)</title><addtitle>Plast Reconstr Surg</addtitle><description>Assessing bone reduction and implant placement in facial fractures is time-consuming because of limited visibility. An intraoperative navigation system allows real-time confirmation of bone positioning and implant placement on the patient's computed tomographic scan. This circumvents the visibility problem and therefore appears to shorten the surgery time. The goal of this study was therefore to determine whether intraoperative navigation reduces the surgical time required to treat patients with acute major facial fractures.
In this retrospective quasi-experimental study, 50 patients with major facial fractures were identified and randomly assigned to treatment groups. Twenty-two were treated without the use of a navigation system, and 28 were treated using navigation. The Facial frActure Severity Score (FASS) was devised to better assess and control for complexity of cases and control for possible selection bias.
The FASS was directly linked to surgery time, whether or not navigation was used. An analysis of covariance demonstrated that the surgical time required to treat major facial fractures, taking into account the FASS, was reduced by 36.1 percent (124.8 minutes) when navigation was used.
This study compared the surgical time required to treat patients with major facial fractures, with and without a navigation system. The use of a navigation system reduced the surgical time by 36.1 percent. This is a significant improvement in reducing the length of craniomaxillofacial procedures.
Therapeutic, III.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Facial Bones - injuries</subject><subject>Facial Bones - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Injury Severity Score</subject><subject>Intraoperative Care - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Retrospective Studies</subject><subject>Skull Fractures - surgery</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Young Adult</subject><issn>0032-1052</issn><issn>1529-4242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdUFtPFFEMPjEaWdF_YMw8-jLYnuueR0JcJUEksD5POme67MDsznIuEP-9g6AQmjRN-12afEJ8RDhA8O7L2fnFATwrCxpeiRka6WsttXwtZgBK1ghG7ol3KV0BoFPWvBV7Co2dK7AzcX28zZHGHUfK_S1XFyVe9oGG6pRu-8vpNm6rc-5K4FTl9TN82W94Qm5KH7mr8lgtI1OuDkPJXP2gqzFWCwr9xFxECrlETu_FmxUNiT88zn3xa_F1efS9Pvn57fjo8KQOGudYI3GLcwYgK8FR11rFtELPxllPfq6tIY3UBu986wJ6Za2WfuXRdKBNq_bF5wffXRxvCqfcbPoUeBhoy2NJjZTeOwfG6YmqH6ghjilFXjW72G8o_m4QmvuYmynm5mXMk-zT44fSbrj7L_qX65Pv3Thkjul6KHccmzXTkNd__axRupaAHu-3emqF6g-_8oea</recordid><startdate>20191001</startdate><enddate>20191001</enddate><creator>Bergeron, Léonard</creator><creator>Bouchard, Sandrine</creator><creator>Bonapace-Potvin, Michelle</creator><creator>Bergeron, François</creator><general>by the American Society of Plastic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20191001</creationdate><title>Intraoperative Surgical Navigation Reduces the Surgical Time Required to Treat Acute Major Facial Fractures</title><author>Bergeron, Léonard ; Bouchard, Sandrine ; Bonapace-Potvin, Michelle ; Bergeron, François</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4181-1aeb18e00a6207adb63eaf19e5769a98465a41abc979b7c19366429f915d045b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Facial Bones - injuries</topic><topic>Facial Bones - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Injury Severity Score</topic><topic>Intraoperative Care - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Retrospective Studies</topic><topic>Skull Fractures - surgery</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bergeron, Léonard</creatorcontrib><creatorcontrib>Bouchard, Sandrine</creatorcontrib><creatorcontrib>Bonapace-Potvin, Michelle</creatorcontrib><creatorcontrib>Bergeron, François</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Plastic and reconstructive surgery (1963)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bergeron, Léonard</au><au>Bouchard, Sandrine</au><au>Bonapace-Potvin, Michelle</au><au>Bergeron, François</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Surgical Navigation Reduces the Surgical Time Required to Treat Acute Major Facial Fractures</atitle><jtitle>Plastic and reconstructive surgery (1963)</jtitle><addtitle>Plast Reconstr Surg</addtitle><date>2019-10-01</date><risdate>2019</risdate><volume>144</volume><issue>4</issue><spage>923</spage><epage>931</epage><pages>923-931</pages><issn>0032-1052</issn><eissn>1529-4242</eissn><abstract>Assessing bone reduction and implant placement in facial fractures is time-consuming because of limited visibility. An intraoperative navigation system allows real-time confirmation of bone positioning and implant placement on the patient's computed tomographic scan. This circumvents the visibility problem and therefore appears to shorten the surgery time. The goal of this study was therefore to determine whether intraoperative navigation reduces the surgical time required to treat patients with acute major facial fractures.
In this retrospective quasi-experimental study, 50 patients with major facial fractures were identified and randomly assigned to treatment groups. Twenty-two were treated without the use of a navigation system, and 28 were treated using navigation. The Facial frActure Severity Score (FASS) was devised to better assess and control for complexity of cases and control for possible selection bias.
The FASS was directly linked to surgery time, whether or not navigation was used. An analysis of covariance demonstrated that the surgical time required to treat major facial fractures, taking into account the FASS, was reduced by 36.1 percent (124.8 minutes) when navigation was used.
This study compared the surgical time required to treat patients with major facial fractures, with and without a navigation system. The use of a navigation system reduced the surgical time by 36.1 percent. This is a significant improvement in reducing the length of craniomaxillofacial procedures.
Therapeutic, III.</abstract><cop>United States</cop><pub>by the American Society of Plastic Surgeons</pub><pmid>31568306</pmid><doi>10.1097/PRS.0000000000006040</doi><tpages>9</tpages></addata></record> |
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| ispartof | Plastic and reconstructive surgery (1963), 2019-10, Vol.144 (4), p.923-931 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Facial Bones - injuries Facial Bones - surgery Female Humans Injury Severity Score Intraoperative Care - methods Male Middle Aged Operative Time Retrospective Studies Skull Fractures - surgery Surgery, Computer-Assisted - methods Young Adult |
| title | Intraoperative Surgical Navigation Reduces the Surgical Time Required to Treat Acute Major Facial Fractures |
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