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Navigation in Orthognathic Surgery

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Navigation in Oral and Maxillofacial Surgery

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Abstract

Most commonly used orthognathic surgery procedures have been used for more than 50 years following a typical planning protocol. The main aim of these procedures is to displace the maxilla or mandible (mono-maxillary approach) or both (bimaxillary approach) into another position to correct maxillofacial deformities. The planning process for bimaxillary approach is more difficult than mono-maxillary approach and requires the application of several steps to produce two splints: intermediate and final. Intermediate splints suffer from accumulated errors in the planning procedure and is the target of improvements. Even with the introduction of three-dimensional (3D) virtual planning into orthognathic surgery, differences between preoperative planning and postoperative outcome achieved have been shown with both under- or over-corrections. Splint-based techniques have to be improved by relying on splint-less techniques. Image-guided navigation systems have been introduced in 1996 in orthognathic surgery as a splint-less technique with the promise of guiding surgeons with real-time visualization of the accurate position of surgical instruments. Unfortunately, navigation systems failed to live up to the promise and can only be used as a measuring tool rather than a guiding tool.

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Author information

Authors and Affiliations

  1. Oral and Maxillofacial Surgery—Imaging and Pathology Research Group, Department of Imaging and Pathology, University of Leuven, Leuven, Belgium

    Constantinus Politis, Yi Sun & Eman Shaheen

  2. Department of Oral & Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium

    Constantinus Politis, Yi Sun & Eman Shaheen

  3. Department of oral and maxillofacial surgery, College of Stomatology, The Fourth Military Medical University, Xi’an, Shaanxi, China

    Tian Lei

Authors
  1. Constantinus Politis
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  2. Yi Sun
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  3. Tian Lei
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  4. Eman Shaheen
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Corresponding author

Correspondence to Constantinus Politis .

Editor information

Editors and Affiliations

  1. Department of Oral & Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran

    Seyed Alireza Parhiz

  2. Oral and Maxillofacial Surgery, Augusta University, Augusta, GA, USA

    Jeffrey N. James

  3. Oral and Maxillofacial Surgery, Augusta University, Marrieta, GA, USA

    Shohreh Ghasemi

  4. Universal Network of Interdisciplinary Research in Oral and MaxillofacialSurgery (UNIROMS), Universal Scientific Education and Research Network (USERN), Tehran, Iran

    Mohammad Hosein Amirzade-Iranaq

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Politis, C., Sun, Y., Lei, T., Shaheen, E. (2022). Navigation in Orthognathic Surgery. In: Parhiz, S.A., James, J.N., Ghasemi, S., Amirzade-Iranaq, M.H. (eds) Navigation in Oral and Maxillofacial Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-06223-0_2

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  • DOI: https://doi.org/10.1007/978-3-031-06223-0_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-06222-3

  • Online ISBN: 978-3-031-06223-0

  • eBook Packages: MedicineMedicine (R0)

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