Accuracy and safety of robotic navigation-assisted distraction osteogenesis for hemifacial microsomia

IntroductionThis study aimed to verify the accuracy and safety of distraction osteogenesis for hemifacial microsomia assisted by a robotic navigation system based on artificial intelligence.MethodsThe small sample early-phase single-arm clinical study, available at http://www.chictr.org.cn/index.asp...

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Main Authors: Ziwei Zhang (Author), Zhijie Zhao (Author), Wenqing Han (Author), Byeong Seop Kim (Author), Yingjie Yan (Author), Xiaojun Chen (Author), Li Lin (Author), Weimin Shen (Author), Gang Chai (Author)
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Published: Frontiers Media S.A., 2023-05-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Ziwei Zhang  |e author 
700 1 0 |a Zhijie Zhao  |e author 
700 1 0 |a Wenqing Han  |e author 
700 1 0 |a Byeong Seop Kim  |e author 
700 1 0 |a Yingjie Yan  |e author 
700 1 0 |a Xiaojun Chen  |e author 
700 1 0 |a Li Lin  |e author 
700 1 0 |a Weimin Shen  |e author 
700 1 0 |a Gang Chai  |e author 
245 0 0 |a Accuracy and safety of robotic navigation-assisted distraction osteogenesis for hemifacial microsomia 
260 |b Frontiers Media S.A.,   |c 2023-05-01T00:00:00Z. 
500 |a 2296-2360 
500 |a 10.3389/fped.2023.1158078 
520 |a IntroductionThis study aimed to verify the accuracy and safety of distraction osteogenesis for hemifacial microsomia assisted by a robotic navigation system based on artificial intelligence.MethodsThe small sample early-phase single-arm clinical study, available at http://www.chictr.org.cn/index.aspx, included children aged three years and older diagnosed with unilateral hemifacial microsomia (Pruzansky-Kaban type II). A preoperative design was performed, and an intelligent robotic navigation system assisted in the intraoperative osteotomy. The primary outcome was the accuracy of distraction osteogenesis, including the positional and angular errors of the osteotomy plane and the distractor, by comparing the preoperative design plan with the actual images one week postoperatively. Perioperative indicators, pain scales, satisfaction scales, and complications at one week were also analyzed.ResultsFour cases (mean 6.5 years, 3 type IIa and 1 type IIb deformity) were included. According to the craniofacial images one week after surgery, the osteotomy plane positional error was 1.77 ± 0.12 mm, and the angular error was 8.94 ± 4.13°. The positional error of the distractor was 3.67 ± 0.23 mm, and the angular error was 8.13 ± 2.73°. Postoperative patient satisfaction was high, and no adverse events occurred.DiscussionThe robotic navigation-assisted distraction osteogenesis in hemifacial microsomia is safe, and the operational precision meets clinical requirements. Its clinical application potential is to be further explored and validated. 
546 |a EN 
690 |a robot-assisted surgery 
690 |a intelligent navigation 
690 |a hemifacial microsomia 
690 |a distraction osteogenesis 
690 |a accuracy 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pediatrics, Vol 11 (2023) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fped.2023.1158078/full 
787 0 |n https://doaj.org/toc/2296-2360 
856 4 1 |u https://doaj.org/article/a1f9a4745bef4b7189811e81478aa0b4  |z Connect to this object online.