Lee, Jeonghwan Mekuria, Kinde Son, Tae-geun Jeong, Woo Shik Choi, Jong Woo Kim, Youngjun 2024-01-19T20:33:46Z 2024-01-19T20:33:46Z 2021-09-02 2019-03 0032-1052 https://pubs.kist.re.kr/handle/201004/120311 Background: The correction of orbital deformities is an ongoing challenge in maxillofacial surgery. Computer-assisted navigation can improve surgical outcomes. However, conventional registration methods for navigation are not appropriate for orbital reconstructive surgery. This study proposes an accurate, noninvasive, patient-specific navigation method and demonstrates its feasibility. Methods: A noninvasive, patient-specific registration frame based on the external auditory canals and upper front teeth was designed using software developed in-house. A three-dimensional craniofacial model was segmented from patient computed tomographic data for the registration frame. A customized craniofacial phantom was also made using this three-dimensional model, with 20 embedded target points on the orbital model and 21 landmark points on the reference standard model. The proposed method was compared with two conventional registration methods: the dental splint-based method and the invasive marker frame-based method. Twenty trials were conducted for evaluation. Target registration error and surface registration error were computed to measure accuracy. Results: The proposed method showed a target registration error of 1.05 +/- 0.52 mm, with greater accuracy than conventional methods (dental splint, 2.10 +/- 0.63 mm; invasive marker frame, 1.22 +/- 0.46 mm). The proposed method yielded the best results for surface registration error, with 0.38 mm of deviation (dental splint, 0.82 mm; invasive marker frame, 0.60 mm). Conclusion: The proposed noninvasive patient-specific registration method demonstrated superior results for both target registration error and surface registration error compared with other conventional registration methods for computer-assisted navigation in orbital reconstructive surger English LIPPINCOTT WILLIAMS & WILKINS A Novel Noninvasive Patient-Specific Navigation Method for Orbital Reconstructive Surgery: A Phantom Study Using Patient Data Article 10.1097/PRS.0000000000005381 1 PLASTIC AND RECONSTRUCTIVE SURGERY, v.143, no.3, pp.602E - 612E PLASTIC AND RECONSTRUCTIVE SURGERY 143 3 602E 612E N scie scopus 000459804400017 2-s2.0-85064740495 Surgery Surgery Article SURGICAL NAVIGATION IMPROVES OUTCOMES REGISTRATION PRECISION WALL