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Record W2978201445 · doi:10.1097/prs.0000000000006040

Intraoperative Surgical Navigation Reduces the Surgical Time Required to Treat Acute Major Facial Fractures

2019· article· en· W2978201445 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenuePlastic & Reconstructive Surgery · 2019
Typearticle
Languageen
FieldMedicine
TopicFacial Trauma and Fracture Management
Canadian institutionsHôpital du Sacré-Cœur de MontréalUniversité TÉLUQ
Fundersnot available
KeywordsMedicineNavigation systemSurgeryReduction (mathematics)Facial traumaFacial boneVisibilityArtificial intelligenceComputer science

Abstract

fetched live from OpenAlex

BACKGROUND: Assessing bone reduction and implant placement in facial fractures is time-consuming because of limited visibility. An intraoperative navigation system allows real-time confirmation of bone positioning and implant placement on the patient's computed tomographic scan. This circumvents the visibility problem and therefore appears to shorten the surgery time. The goal of this study was therefore to determine whether intraoperative navigation reduces the surgical time required to treat patients with acute major facial fractures. METHODS: In this retrospective quasi-experimental study, 50 patients with major facial fractures were identified and randomly assigned to treatment groups. Twenty-two were treated without the use of a navigation system, and 28 were treated using navigation. The Facial frActure Severity Score (FASS) was devised to better assess and control for complexity of cases and control for possible selection bias. RESULTS: The FASS was directly linked to surgery time, whether or not navigation was used. An analysis of covariance demonstrated that the surgical time required to treat major facial fractures, taking into account the FASS, was reduced by 36.1 percent (124.8 minutes) when navigation was used. CONCLUSIONS: This study compared the surgical time required to treat patients with major facial fractures, with and without a navigation system. The use of a navigation system reduced the surgical time by 36.1 percent. This is a significant improvement in reducing the length of craniomaxillofacial procedures. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesInsufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.746
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.269
Teacher spread0.257 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it