Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty

Abstract Genioplasty is the main way to treat diseases such as chin asymmetry, dysplasia and overdevelopment, which involve the three-dimensional direction abnormalities of the chin. Since this kind of surgery mainly uses intraoral incisions, the narrow surgical field of intraoral incisions and the...

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Autores principales:	Li Lin, Cheng Xu, Yunyong Shi, Chaozheng Zhou, Ming Zhu, Gang Chai, Le Xie
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/626c645bfea242b5bef648b7bb6b15ab
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spelling	oai:doaj.org-article:626c645bfea242b5bef648b7bb6b15ab2021-12-02T16:30:05ZPreliminary clinical experience of robot-assisted surgery in treatment with genioplasty10.1038/s41598-021-85889-w2045-2322https://doaj.org/article/626c645bfea242b5bef648b7bb6b15ab2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-85889-whttps://doaj.org/toc/2045-2322Abstract Genioplasty is the main way to treat diseases such as chin asymmetry, dysplasia and overdevelopment, which involve the three-dimensional direction abnormalities of the chin. Since this kind of surgery mainly uses intraoral incisions, the narrow surgical field of intraoral incisions and the surrounding important neurovascular tissues make it easy for complications, to occur during the osteotomy process, which results in greater surgical risks. The first craniofacial-plastic surgical robot (CPSR-I) system is developed to complete the precise positioning and improve the surgeon's force perception ability. The Kalman filtering method is adopted to reduce the interference of sensor signal noise. An adaptive fuzzy control system, which has strong robustness and adaptability to the environment, is designed to improve the stability of robot-assisted surgical operations. To solve the problem of the depth perception, we propose an automatic bone drilling control strategy that combines position and force conditions to ensure that the robot can automatically stop when the bone is penetrated. On the basis of model surgery and animal experiments, preliminary experiments were carried out clinically. Based on the early results of 6 patients, the robot-assisted approach appears to be a safe and effective strategy for genioplasty.Li LinCheng XuYunyong ShiChaozheng ZhouMing ZhuGang ChaiLe XieNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Li Lin Cheng Xu Yunyong Shi Chaozheng Zhou Ming Zhu Gang Chai Le Xie Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
description	Abstract Genioplasty is the main way to treat diseases such as chin asymmetry, dysplasia and overdevelopment, which involve the three-dimensional direction abnormalities of the chin. Since this kind of surgery mainly uses intraoral incisions, the narrow surgical field of intraoral incisions and the surrounding important neurovascular tissues make it easy for complications, to occur during the osteotomy process, which results in greater surgical risks. The first craniofacial-plastic surgical robot (CPSR-I) system is developed to complete the precise positioning and improve the surgeon's force perception ability. The Kalman filtering method is adopted to reduce the interference of sensor signal noise. An adaptive fuzzy control system, which has strong robustness and adaptability to the environment, is designed to improve the stability of robot-assisted surgical operations. To solve the problem of the depth perception, we propose an automatic bone drilling control strategy that combines position and force conditions to ensure that the robot can automatically stop when the bone is penetrated. On the basis of model surgery and animal experiments, preliminary experiments were carried out clinically. Based on the early results of 6 patients, the robot-assisted approach appears to be a safe and effective strategy for genioplasty.
format	article
author	Li Lin Cheng Xu Yunyong Shi Chaozheng Zhou Ming Zhu Gang Chai Le Xie
author_facet	Li Lin Cheng Xu Yunyong Shi Chaozheng Zhou Ming Zhu Gang Chai Le Xie
author_sort	Li Lin
title	Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
title_short	Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
title_full	Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
title_fullStr	Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
title_full_unstemmed	Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
title_sort	preliminary clinical experience of robot-assisted surgery in treatment with genioplasty
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/626c645bfea242b5bef648b7bb6b15ab
work_keys_str_mv	AT lilin preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty AT chengxu preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty AT yunyongshi preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty AT chaozhengzhou preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty AT mingzhu preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty AT gangchai preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty AT lexie preliminaryclinicalexperienceofrobotassistedsurgeryintreatmentwithgenioplasty
_version_	1718383932923183104

Preliminary clinical experience of robot-assisted surgery in treatment with genioplasty

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