Navigation and Computer-Assisted Craniomaxillofacial Surgery

  • Nils-Claudius Gellrich
  • Majeed Rana


In this chapter, the prerequisites for navigation as part of a digital workflow, which CAS offers to the CMF surgeon, are described including an overview of available navigation systems. However, navigation itself is an island solution if it is not implemented into the idea of free usage of DICOM data set info, which indeed has shifted from diagnosis making through the radiologist only towards the basis of an idea of quality control during the different phases of treatment, where navigation is one during the surgery. The use of computer-assisted surgery and intraoperative navigation in CMF surgery is outlined in the field of biopsy taking, traumatology, orthognathic surgery and congenital deformity treatment, implant dentistry, surgical oncology treatment including the interface to adjuvant therapies and reconstruction of the jaws. Computer assistance and navigation contribute to transparency and allow to quality control each step of treatment with the chance for correction if needed. Thus, these technological advances contribute to the idea of a common trunk use of digital imaging information with interspecialty interface improvement due to language independency and openness with broad access. It took years for the industry to respond to surgeons’ requests for having independent analysing and planning platforms from navigation systems; today there are different systems on the market that allow for sound preoperative planning, definition of the treatment goal, image fusion of different data sets and import and export of STL information. Thus, the idea of quality control with intraoperative visualization of hidden structures can be realized, and in real time for improved educational purposes.


Navigation systems Computer-assisted surgery (CAS) Craniomaxillofacial (CMF) surgery Computer Assisted Preoperative Planning (CAPP) 


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© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Oral & Craniomaxillofacial SurgeryHannover Medical SchoolHanoverGermany

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