First-in-man application of a cold ablation robot guided laser osteotome in midface osteotomies

The aim of the study was to assess clinical applicability robot guided laser osteotomy for application. This is initial report on 14 consecutive patients requiring an orthognathic procedure with a midface (no restrictions made surgical indication itself) who have undergone surgery by means Cold Ablation Laser Osteotome CARLO® (AOT Advanced Osteotomy Tools, Basle, Switzerland), which integrated system, functionally comprising: Er:YAG source, intended perform osteotomies using cold ablation, arm that controls position optical tracking device provides continuous and accurate measurement source reference elements attached instruments or bones, navigation system (software) able read preoperatively defined planned osteotomies, – under control surgeon performs osteotomies. Safety assessed unimpaired postoperative healing absence related injuries; performance as ability cut maxilla along cutting path rage accuracy 2mm. ablation robot-guided could successfully be performed in patients. No intraoperative complications technical failure occurred. All were within average deviation 0.80 mm (±0.26 mm) virtually preplanned location. registration set up at beginning operation required mean time 4.6 min (±5.3min). In this we describe effective successful routine use actual setting. It promising innovation has potential new standards safety surgery.