A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system: A preliminary study

Research output: Contribution to journalArticle

Biao Li, S Shen, W. Jiang, J. Li, Tao Jiang, J J Xia, Steve Guofang Shen, X. Wang

The purpose of this study was to evaluate a personalized orthognathic surgical guide (POSG) system for bimaxillary surgery without the use of surgical splint. Ten patients with dentofacial deformities were enrolled. Surgeries were planned with the computer-aided surgical simulation method. The POSG system was designed for both maxillary and mandibular surgery. Each consisted of cutting guides and three-dimensionally (3D) printed custom titanium plates to guide the osteotomy and repositioning the bony segments without the use of the surgical splints. Finally, the outcome evaluation was completed by comparing planned outcomes with postoperative outcomes. All operations were successfully completed using the POSG system. The largest root-mean-square deviations were 0.74mm and 1.93° for the maxillary dental arch, 1.10mm and 2.82° for the mandibular arch, 0.83mm and 2.59° for the mandibular body, and 0.98mm and 2.45° for the proximal segments. The results of the study indicated that our POSG system is capable of accurately and effectively transferring the surgical plan without the use of surgical splint. A significant advantage is that the repositioning of the bony segments is independent to the mandibular autorotation, thus eliminates the potential problems associated with the surgical splint.

Original languageEnglish (US)
Pages (from-to)1298-1305
Number of pages8
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume46
Issue number10
DOIs
StatePublished - Oct 2017

PMID: 28552440

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A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system : A preliminary study. / Li, Biao; Shen, S; Jiang, W.; Li, J.; Jiang, Tao; Xia, J J; Shen, Steve Guofang; Wang, X.

In: International Journal of Oral and Maxillofacial Surgery, Vol. 46, No. 10, 10.2017, p. 1298-1305.

Research output: Contribution to journalArticle

Harvard

Li, B, Shen, S, Jiang, W, Li, J, Jiang, T, Xia, JJ, Shen, SG & Wang, X 2017, 'A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system: A preliminary study' International Journal of Oral and Maxillofacial Surgery, vol. 46, no. 10, pp. 1298-1305. https://doi.org/10.1016/j.ijom.2017.03.025

APA

Li, B., Shen, S., Jiang, W., Li, J., Jiang, T., Xia, J. J., ... Wang, X. (2017). A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system: A preliminary study. International Journal of Oral and Maxillofacial Surgery, 46(10), 1298-1305. https://doi.org/10.1016/j.ijom.2017.03.025

Vancouver

Li B, Shen S, Jiang W, Li J, Jiang T, Xia JJ et al. A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system: A preliminary study. International Journal of Oral and Maxillofacial Surgery. 2017 Oct;46(10):1298-1305. https://doi.org/10.1016/j.ijom.2017.03.025

Author

Li, Biao ; Shen, S ; Jiang, W. ; Li, J. ; Jiang, Tao ; Xia, J J ; Shen, Steve Guofang ; Wang, X. / A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system : A preliminary study. In: International Journal of Oral and Maxillofacial Surgery. 2017 ; Vol. 46, No. 10. pp. 1298-1305.

BibTeX

@article{d93e10bcb000421da36492f20ea0e39b,
title = "A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system: A preliminary study",
abstract = "The purpose of this study was to evaluate a personalized orthognathic surgical guide (POSG) system for bimaxillary surgery without the use of surgical splint. Ten patients with dentofacial deformities were enrolled. Surgeries were planned with the computer-aided surgical simulation method. The POSG system was designed for both maxillary and mandibular surgery. Each consisted of cutting guides and three-dimensionally (3D) printed custom titanium plates to guide the osteotomy and repositioning the bony segments without the use of the surgical splints. Finally, the outcome evaluation was completed by comparing planned outcomes with postoperative outcomes. All operations were successfully completed using the POSG system. The largest root-mean-square deviations were 0.74mm and 1.93° for the maxillary dental arch, 1.10mm and 2.82° for the mandibular arch, 0.83mm and 2.59° for the mandibular body, and 0.98mm and 2.45° for the proximal segments. The results of the study indicated that our POSG system is capable of accurately and effectively transferring the surgical plan without the use of surgical splint. A significant advantage is that the repositioning of the bony segments is independent to the mandibular autorotation, thus eliminates the potential problems associated with the surgical splint.",
keywords = "Journal Article",
author = "Biao Li and S Shen and W. Jiang and J. Li and Tao Jiang and Xia, {J J} and Shen, {Steve Guofang} and X. Wang",
note = "Copyright {\circledC} 2017. Published by Elsevier Ltd.",
year = "2017",
month = "10",
doi = "10.1016/j.ijom.2017.03.025",
language = "English (US)",
volume = "46",
pages = "1298--1305",
journal = "International Journal of Oral and Maxillofacial Surgery",
issn = "0901-5027",
publisher = "Churchill Livingstone",
number = "10",

}

RIS

TY - JOUR

T1 - A new approach of splint-less orthognathic surgery using a personalized orthognathic surgical guide system

T2 - International Journal of Oral and Maxillofacial Surgery

AU - Li, Biao

AU - Shen, S

AU - Jiang, W.

AU - Li, J.

AU - Jiang, Tao

AU - Xia, J J

AU - Shen, Steve Guofang

AU - Wang, X.

N1 - Copyright © 2017. Published by Elsevier Ltd.

PY - 2017/10

Y1 - 2017/10

N2 - The purpose of this study was to evaluate a personalized orthognathic surgical guide (POSG) system for bimaxillary surgery without the use of surgical splint. Ten patients with dentofacial deformities were enrolled. Surgeries were planned with the computer-aided surgical simulation method. The POSG system was designed for both maxillary and mandibular surgery. Each consisted of cutting guides and three-dimensionally (3D) printed custom titanium plates to guide the osteotomy and repositioning the bony segments without the use of the surgical splints. Finally, the outcome evaluation was completed by comparing planned outcomes with postoperative outcomes. All operations were successfully completed using the POSG system. The largest root-mean-square deviations were 0.74mm and 1.93° for the maxillary dental arch, 1.10mm and 2.82° for the mandibular arch, 0.83mm and 2.59° for the mandibular body, and 0.98mm and 2.45° for the proximal segments. The results of the study indicated that our POSG system is capable of accurately and effectively transferring the surgical plan without the use of surgical splint. A significant advantage is that the repositioning of the bony segments is independent to the mandibular autorotation, thus eliminates the potential problems associated with the surgical splint.

AB - The purpose of this study was to evaluate a personalized orthognathic surgical guide (POSG) system for bimaxillary surgery without the use of surgical splint. Ten patients with dentofacial deformities were enrolled. Surgeries were planned with the computer-aided surgical simulation method. The POSG system was designed for both maxillary and mandibular surgery. Each consisted of cutting guides and three-dimensionally (3D) printed custom titanium plates to guide the osteotomy and repositioning the bony segments without the use of the surgical splints. Finally, the outcome evaluation was completed by comparing planned outcomes with postoperative outcomes. All operations were successfully completed using the POSG system. The largest root-mean-square deviations were 0.74mm and 1.93° for the maxillary dental arch, 1.10mm and 2.82° for the mandibular arch, 0.83mm and 2.59° for the mandibular body, and 0.98mm and 2.45° for the proximal segments. The results of the study indicated that our POSG system is capable of accurately and effectively transferring the surgical plan without the use of surgical splint. A significant advantage is that the repositioning of the bony segments is independent to the mandibular autorotation, thus eliminates the potential problems associated with the surgical splint.

KW - Journal Article

U2 - 10.1016/j.ijom.2017.03.025

DO - 10.1016/j.ijom.2017.03.025

M3 - Article

VL - 46

SP - 1298

EP - 1305

JO - International Journal of Oral and Maxillofacial Surgery

JF - International Journal of Oral and Maxillofacial Surgery

SN - 0901-5027

IS - 10

ER -

ID: 32880420