[IL-01] Computer-aided Surgery in Head and Neck Tumor
EDUCATION
DDS, MS, PhD
Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan
PROFESSIONAL POSITION and SPECIALTY
Professor, School of Dentistry, National Taiwan University, Taiwan
Director, Oral and Maxillofacial Surgery Ward, National Taiwan University Hospital
Attending physician, Department of Oral and Maxillofacial Surgery
Executive Supervisor, Taiwan Association of Oral and Maxillofacial Surgeons
Specialty, Oral & Maxillofacial Surgery, Taiwan
Specialty, Facial Plastic and Reconstructive Surgery, Taiwan
Specialty, Academy of Oral Implantology, Taiwan
Specialty, Academy of Head and Neck Tumor, Taiwan
AWARD
Special Service Award, NTUH 2007
Distinguished Teaching Award- First prize, NTUH 2014
Group Writing Award, NTUH 2014
Outstanding Research Award, Dental Association of Taiwan, ROC 2016
Outstanding Teaching Award, Medical College, NTU 2017
Conventionally, treatment planning for head and neck tumor relies on two-dimensional evaluation, clinical photographic analysis including CT, MRI, to assess the direction and extent of lesion involvement. However, there are some limitations for the traditional surgery compared to computer-aided surgery (CAS).
First, simulation surgery is unattainable to complicate the surgery and needed to get landmark identification peri-operatively. Second, some difficulties of the surgery prediction will be encountered by the 3D movement measurement due to irreproducible position. Furthermore, the imaging data will be sometimes inconsistently integrated especially for conspicuous tissue swelling and bone asymmetry, even for experienced practitioners. However, computer-aided surgery (CAS) with 3D printing technique has been widely used to head and neck surgery in recent decades, including dentoalveolar surgery planning, implant guide fabrication and real-time navigation, virtual surgery planning for orthognathic surgery, perioperative trauma reduction evaluation, surgical simulation and surgical guide retrieval for mandibular reconstruction, patient specific implant for correcting cranioamxillofacial deformity, and even robotic surgery for deep and sophisticate lesion eradication, leading to aesthetic and functional improvement. Herewith we will present some cases for resection and reconstruction to address how to apply the CAS to head and neck surgery to obtain the predictable aesthetic and functional outcomes.
First, simulation surgery is unattainable to complicate the surgery and needed to get landmark identification peri-operatively. Second, some difficulties of the surgery prediction will be encountered by the 3D movement measurement due to irreproducible position. Furthermore, the imaging data will be sometimes inconsistently integrated especially for conspicuous tissue swelling and bone asymmetry, even for experienced practitioners. However, computer-aided surgery (CAS) with 3D printing technique has been widely used to head and neck surgery in recent decades, including dentoalveolar surgery planning, implant guide fabrication and real-time navigation, virtual surgery planning for orthognathic surgery, perioperative trauma reduction evaluation, surgical simulation and surgical guide retrieval for mandibular reconstruction, patient specific implant for correcting cranioamxillofacial deformity, and even robotic surgery for deep and sophisticate lesion eradication, leading to aesthetic and functional improvement. Herewith we will present some cases for resection and reconstruction to address how to apply the CAS to head and neck surgery to obtain the predictable aesthetic and functional outcomes.