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Article Dans Une Revue Journal of Cranio-Maxillofacial Surgery Année : 2023

Robotic calvarial bone sampling.


The aim of this study was to assess the feasibility of complex unicortical calvarial harvesting by using the Cold Ablation Robot-Guided Laser Osteotome (CARLO® primo+). A cadaveric study was performed with a progressive complexity of the bone harvesting. This preliminary study on the cadaveric cranial vault area examined the tracking precision, the strategies, settings and durations of harvesting, the accuracy of the unicortical bone cutting, and the risk of dura exposition. All sampling was realised with no more difficulty than that experienced during the standard procedure. No bicortical cutting occurred during CARLO® primo + robot-guided laser cutting. During the second sampling, dura was partially exposed due to improper angulation of the curved osteotome during harvesting. Complex unicortical calvarial harvesting using robot-guided laser appears to be feasible and safe. In the future, robotic approaches will probably replace current surgical techniques using cutting guides and help reduce intraoperative inaccuracies due to the human factor.
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Dates et versions

hal-04313643 , version 1 (29-11-2023)



Thomas Wojcik, Marta Morawska, Joel Ferri, Magdalena Müller-Gerbl, Romain Nicot. Robotic calvarial bone sampling.. Journal of Cranio-Maxillofacial Surgery, 2023, Journal of Cranio-Maxillofacial Surgery, 51 (10), pp.603-608. ⟨10.1016/j.jcms.2023.09.004⟩. ⟨hal-04313643⟩


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