Registration methods for surgical navigation of the mandible: a systematic review. Issue 10 (October 2022)

• Record Type: Journal Article
• Authors: de Geer, A.F.; Brouwer de Koning, S.G.; van Alphen, M.J.A.; van der Mierden, S.; Zuur, C.L.; van Leeuwen, F.W.B.; Loeve, A.J.; van Veen, R.L.P.; Karakullukcu, M.B.
• Is Part Of: International journal of oral & maxillofacial surgery. Volume 51:Issue 10(2022)
• Page Start: 1318
• Page End: 1329
• Publication Date: 2022-10
• Subjects: jaw surgery -- mandible -- surgical navigation systems -- surgical navigation -- computer-assisted surgery -- maxillofacial surgery; Mouth -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Dentistry -- Periodicals; Dentistry, Operative; Oral Surgical Procedures; Surgery, Oral; Dentistry; Maxilla -- Surgery; Mouth -- Surgery; Electronic journals; Periodicals; 617.52059
• DOI: 10.1016/j.ijom.2022.01.017
• Languages: English
• ISSNs: 0901-5027

Abstract

Abstract: Image-to-patient registration in navigated mandibular surgery is complex due to the mobile nature of the mandible compared with other craniofacial bones. As a result, surgical navigation is rarely employed in the mandibular region. This systematic review provides an overview of the different registration methods that are used for surgical navigation of the mandible. A systematic search was performed in the MEDLINE Ovid, Scopus, and Embase databases on March 25, 2021. Search terms included synonyms for mandibular surgery, surgical navigation, and registration methods. Articles about navigated mandibular surgery, where the registration method was explicitly mentioned, were included. The database search yielded a total of 2952 articles, from which 81 articles remained for analysis. Four main registration methods were identified: point registration, surface registration, hybrid registration, and computer vision-based registration. The mobility of the mandible is accounted for by either keeping the mandible in a fixed position during preoperative imaging and surgery, or by tracking the mandibular movements. Although different registration methods are available for navigated mandibular surgery, there is always a trade-off between accuracy, registration time, usability, and invasiveness. Future studies should focus on testing the different methods in larger patient studies and should report the registration accuracy.