Individualized craniomaxillofacial region navigating and registering guide plate and registering method thereof

A craniomaxillofacial and guide plate technology, applied in the field of individualized craniomaxillofacial navigation and registration guide plate and its registration, can solve the secondary radiation damage of patients, increase the registration error of the navigation system target, anatomical structure and imaging data errors and other problems, to achieve the effect of simplifying the preoperative preparation process, shortening the preoperative preparation time, and avoiding secondary radiation damage

Active Publication Date: 2019-05-03
SHANGHAI NINTH PEOPLES HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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  • Abstract
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  • Claims
  • Application Information

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Problems solved by technology

[0004] However, the inventors found in clinical work that navigation-assisted craniomaxillofacial surgery (excluding the mandible) uses point registration, and it is necessary to implant 4-5 pieces of titanium nails in the patient's maxillary alveolar bone before the operation. As a registration landmark point, a second CT examination is required to visualize the titanium nail, so that the titanium nail can be recognized by the navigation system. The implantation of the titanium nail is carried out under local anesthesia, but it is an invasive operation for the patient. There will be discomfort and even strong pain after the titanium nail is implanted, and painkillers need to be taken, and another CT examination will cause secondary radiation damage to the patient
[0005] Sticking markers that can be visualized by imaging examinations on the cranio-maxillofacial region for point registration, there is a risk of falling off before or during the operation, which will affect the registration process of navigation, while the occlusal plate made of self-curing plastic, And embedding screws or dental materials in ...

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  • Individualized craniomaxillofacial region navigating and registering guide plate and registering method thereof
  • Individualized craniomaxillofacial region navigating and registering guide plate and registering method thereof
  • Individualized craniomaxillofacial region navigating and registering guide plate and registering method thereof

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Embodiment 1

[0026] see Figure 1-6 , the present invention provides the following technical solutions: an individualized craniomaxillofacial navigation and registration guide plate, including an occlusal plate 1, and virtual registration mark points 2 discretely distributed on the sides and wings of the guide plate, and the registration mark 2 points are A cone with a diameter of 1 mm and a depth of 1 mm.

[0027] Specifically, the material of the bite plate 1 and the registration marker point 2 are the same.

[0028] A registration method for an individualized craniomaxillofacial navigation and registration guide plate, comprising the following steps:

[0029] S1. The patient only needs to complete two examinations at the first visit: (1) Complete the imaging examination, and the shooting range is from the top of the skull to the level of the hyoid bone; (2) Prepare a plaster model of the patient's maxillary dentition and design it by computer. Use 3D printers for processing and produc...

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Abstract

The invention belongs to the technical field of craniomaxillofacial surgeries, and particularly relates to an individualized craniomaxillofacial region navigating and registering guide plate and a registering method thereof. The individualized craniomaxillofacial region navigating and registering guide plate comprises a biteplate and registering mark points, wherein the registering mark points arecones of which the diameter is 1mm and of which the depth is 1mm. Design is performed through a computer, the main structure of the individualized craniomaxillofacial region navigating and registering guide plate comprises two parts, namely a biteplate part which can be in close contact with maxillary dentition and the registering mark points which are in discrete distribution at the flank and the wing of the guide plate and which are used for point registering. A patient only needs to be subjected to shooting of imaging examination once during preliminary diagnosis, so that secondary radiation injury can be avoided; and besides, a plaster model of the maxillary dentition is prepared. The individualized craniomaxillofacial region navigating and registering guide plate is a novel guide plate, and a computer assisted design technique, a three-dimensional printing technique and a navigation technique are combined; and according to the corresponding registering method of the individualized craniomaxillofacial region navigating and registering guide plate, systematic registration is completed through the registering mark points in virtual design, and the registering method is an innovative registering method.

Description

technical field [0001] The invention belongs to the technical field of craniomaxillofacial surgery, and in particular relates to an individualized craniomaxillofacial navigation and registration guide plate and a registration method thereof. Background technique [0002] Registration is an important process in the implementation of surgical navigation techniques. As the key core technology in optical navigation, registration technology is directly related to the accuracy of the whole system and the success or failure of computer-assisted surgery. The so-called registration refers to the virtual coordinate system, that is, the coordinate system formed in the computer image space after the single-mode or multi-mode medical images such as CT and MRI acquired before the operation are processed in the computer image space, and the world coordinate system, that is, the navigation during the operation. The coordinate system constructed by the positioning device of the system and t...

Claims

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Application Information

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IPC IPC(8): A61B34/20
Inventor 吴锦阳张诗雷张剑飞姜腾飞麻宏阳卞晶张勇杨成帅王旭东沈国芳
Owner SHANGHAI NINTH PEOPLES HOSPITAL AFFILIATED TO SHANGHAI JIAO TONG UNIV SCHOOL OF MEDICINE
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