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Apollo Performs Indias First Navigation Surgery for Maxillofacial Trauma

For the first time in India, specialists at Apollo Hospitals performed the navigation surgery for maxillofacial trauma on a 21 year old engineering student with an extensive blow out fracture of the orbit.

21 year old Jeetarthas left eye socket was injured very badly in a road accident and he was brought to Apollo Speciality Hospitals for immediate medical care. He suffered from diplopia and enopthalmous -a condition in which the patient sees double images and the eyeball appears sunken inside the bony socket.

Specialists identified that the orbital floor was extensively fractured and had to be reconstructed. If not accurately corrected the boy could suffer from double vision and a disfigured face for life.

Elaborating further Dr Vinod Narayanan said, Under this new technology, CT scans of the patient are taken preoperatively and the patients actual anatomy on the operating table is superimposed on those CT scans using laser registration methods. As the surgeon moves an instrument in the body, its position is precisely calculated.

The computer then superimposes the position of the instruments as they are used in surgery onto images of the anatomy displayed on a monitor, allowing the surgeon to see the exact placement and direction where the instrument is moving. This helps the surgeon to accurately monitor the entire surgical procedure and stay well away from the optic nerve.

Speaking about the success of the surgery, Dr. Nirvikalpa Natarajan, Maxillofacial Surgeon said, You might compare surgical navigation technology to a GPS system for the surgeon. As the driver of a car uses the GPS system to find the way on the road, the surgeon depends on these images to confirm the position of his or her instruments in the patient’s body. In conventional operation, surgeons transfer complex anatomic and surgical planning information, using spatial sense and experience. The surgical procedure depends entirely on the manual skills of the operator. On the contrary, the development of image-guided navigation surgery provides new revolutionary opportunities by integrating pre surgical 3D imaging and intra operative manipulation.

Navigation Surgery is currently being used for Neuro, Spine and Orthopaedic Surgery. However, as of September 2012, Apollo Speciality Hospital, Chennai is the only hospital to have the navigation technology for maxillofacial surgery, says Mr. Sheen Kurien, Brainlabs, Inc; and this is yet another fine example of upholding Apollo Hospitals vision of using Cutting edge technology for enhancing patient safety.

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