Navigational Surgery of the Facial Skeleton.pdf

NAVIGATIONAL SURGERY

OF THE FACIAL SKELETON

A. Schramm, N.-C. Gellrich,

R. Schmelzeisen

Navigational

Surgery of the

Facial Skeleton

With 129 Figures

123

Library of Congress

Control Number 2006935422

ISBN-10 3-540-22357-6

Springer Berlin Heidelberg New York

ISBN-13 978-3-540-22357-3

Springer Berlin Heidelberg New York

Alexander Schramm, MD DDS

Professor and Vicechairman

Dept. of Oral and Maxillofacial Surgery

Medical School Hannover

Carl-Neuberg-Straße 1

30625 Hannover, Germany

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of the German Copyright Law of September 9, 1965, in its cur-

rent version, and permissions for use must always be obtained

from Springer. Violations are liable for prosecution under the

German Copyright Law.

Springer is a part of Springer Science+Business Media

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The use of general descriptive names, registered names, trade-

marks, etc. in this publication does not imply, even in the

absence of a speciﬁc statement, that such names are exempt

from the relevant protective laws and regulations and therefore

free for general use.

Product liability:The publishers cannot guarantee the accuracy

of any information about dosage and application contained in

this book. In every individual case the user must check such

information by consulting the relevant literature.

Editor: Gabriele Schröder, Heidelberg, Germany

Desk Editor: Martina Himberger, Heidelberg, Germany

Cover design: Frido Steinen-Broo, EStudio Calamar, Spain

Production: LE-T E X Jelonek, Schmidt & Vöckler GbR,

Leipzig, Germany

Reproduction and typesetting: AM-productions GmbH,

Wiesloch, Germany

Nils-Claudius Gellrich, MD DDS

Professor and Chairman

Dept. of Oral and Maxillofacial Surgery

Medical School Hannover

Carl-Neuberg-Straße 1

30625 Hannover, Germany

Printed on acid-free paper 27/3100/YL – 5 43210

Rainer Schmelzeisen, MD DDS

Professor and Chairman

Dept. of Oral and Maxillofacial Surgery

University Hospital Freiburg

Hugstetterstraße 55

79106 Freiburg i. Br., Germany

Preface

Navigational surgery in the craniomaxillofacial ﬁeld

started to become clinically applicable in the 1990s.

Its distribution into daily routine, however, was limit-

ed due to the fact that all navigation systems narrow-

ly addressed neurosurgical needs, which are basically

to ﬁnd a 3D structure within a 3D volume. However,

in the ﬁeld of craniomaxillofacial surgery these

neurosurgery-oriented navigation systems had to be

adapted and the software changed, especially with

respect to preoperative planning, including virtual

model building and following the pre-op plan during

surgery. This changed the workﬂow in the ﬁeld of

navigational surgery in the craniomaxillofacial ﬁeld

so greatly that a separate imaging analysis platform

for pre- and postoperative assessment and quality

control became more and more demanding.

The authors have promoted the idea of pre- and

postoperative planning and the interface of these

imaging analysis achievements with intraoperative

navigation. This has led, over recent years, to a very

beneﬁcial implementation of modern technology

into the area of patient care. We implemented this

technique into our daily routines in our departments

and we even promoted the idea of preoperative plan-

ning in teaching of our residents and students, so that

every voxel-based data set is now assessed on an

imaging analysis platform. Furthermore, we found

it useful that pre- and postoperative image fusion of

voxel-based datasets led to a unique type of quality

control with respect to surgically achieved results.

We hope that through this book we can share the

ideas we had and achievements we made during

the last ten years. We hope that the next generation

of surgeons will have the chance to include these

achievements in their daily practical work.

Alexander Schramm, Nils-Claudius Gellrich

and Rainer Schmelzeisen

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