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Future of Surgery-First Orthognathic Approach

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Surgery-First Orthodontic Management

Abstract

Treatment planning and execution of jaw surgery when done with meticulous planning and execution will result in a more predictable and favourable outcome. Conventional jaw surgery planning and execution relied on the two-dimensional imaging and manually assisted armamentarium (face-bow transfer, splint-fabrication, etc.) that made complex movements of maxillo-mandibular jaw surgery not only a technique-sensitive but a time-consuming procedure as well. The chapter delineates the recent advancements in the field of jaw surgery and the future of SFOA with regard to 3D-assisted planning. The modalities of three-dimensional image acquisition and diagnosis, software’s used in the virtual surgical planning (VSP), rapid prototyping of surgical splints, augmented real-time and virtual surgical navigation, and splint-less surgery will also be discussed.

I never think of the future- it comes soon enough.

—Albert Einstein

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References

  1. Uribe F, Janakiraman N, Shafer D, Nanda R. Three-dimensional cone-beam computed tomography-based virtual treatment planning and fabrication of a surgical splint for asymmetric patients: surgery first approach. Am J Orthod Dentofac Orthop. 2013;144:748–58.

    Article  Google Scholar 

  2. Mischkowski RA, Zinser MJ, Kübler AC, Krug B, Seifert U, Zöller JE. Application of an augmented reality tool for maxillary positioning in orthognathic surgery—a feasibility study. J Cranio-Maxillofac Surg. 2006;34:478–83.

    Article  Google Scholar 

  3. Tucker S, Cevidanes LHS, Styner M, Kim H, Reyes M, Proffit W, et al. Comparison of actual surgical outcomes and 3-dimensional surgical simulations. J Oral Maxillofac Surg. 2010;68:2412–21.

    Article  Google Scholar 

  4. Metzger MC, Hohlweg-Majert B, Schwarz U, Teschner M, Hammer B, Schmelzeisen R. Manufacturing splints for orthognathic surgery using a three-dimensional printer. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;105:e1–7.

    Article  Google Scholar 

  5. Gander T, Bredell M, Eliades T, Rücker M, Essig H. Splintless orthognathic surgery: a novel technique using patient-specific implants (PSI). J Cranio-Maxillofac Surg. 2015;43:319–22.

    Article  Google Scholar 

  6. Zinser MJ, Sailer HF, Ritter L, Braumann B, Maegele M, Zöller JE. A paradigm shift in orthognathic surgery? A comparison of navigation, computer-aided designed/computer-aided manufactured splints, and “classic” intermaxillary splints to surgical transfer of virtual orthognathic planning. J Oral Maxillofac Surg. 2013;71(2151):e1–e21.

    Google Scholar 

  7. Zinser MJ, Mischkowski RA, Dreiseidler T, Thamm OC, Rothamel D, Zöller JE. Computer-assisted orthognathic surgery: waferless maxillary positioning, versatility, and accuracy of an image-guided visualisation display. Br J Oral Maxillofac Surg. 2013;51:827–33.

    Article  Google Scholar 

  8. De Vos W, Casselman J, Swennen G. Cone-beam computerized tomography (CBCT) imaging of the oral and maxillofacial region: a systematic review of the literature. Int J Oral Maxillofac Surg. 2009;38:609–25.

    Article  Google Scholar 

  9. Liebregts JH, Timmermans M, De Koning MJ, Bergé SJ, Maal TJ. Three-dimensional facial simulation in bilateral sagittal split osteotomy: a validation study of 100 patients. J Oral Maxillofac Surg. 2015;73:961–70.

    Article  Google Scholar 

  10. Karatas OH, Toy E. Three-dimensional imaging techniques: a literature review. Eur J Dent. 2014;8:132.

    Article  Google Scholar 

  11. Lane C, Harrell W. Completing the 3-dimensional picture. Am J Orthod Dentofac Orthop. 2008;133:612–20.

    Article  Google Scholar 

  12. Weinberg SM, Kolar JC. Three-dimensional surface imaging: limitations and considerations from the anthropometric perspective. J Craniofac Surg. 2005;16:847–51.

    Article  Google Scholar 

  13. Liebregts JHF, Timmermans M, Koning MJJD, Berg SJ, Maal TJJ. Three-dimensional facial simulation in bilateral sagittal split osteotomy: a validation study of 100 patients. J Oral Maxillofac Surg. 2015;73:961–70.

    Article  Google Scholar 

  14. SA S, R J SK. 3-dimensional facial simulation in orthognathic surgery: is it accurate? J Oral Maxillofac Surgeon. 2013;71:1406.

    Article  Google Scholar 

  15. Xia JJ, Gateno J, Teichgraeber JF. Three-dimensional computer-aided surgical simulation for maxillofacial surgery. Atlas Oral Maxillofac Surg Clin North Am. 2005;13:25–39.

    Article  Google Scholar 

  16. Lin H-H, Lo L-J. Three-dimensional computer-assisted surgical simulation and intraoperative navigation in orthognathic surgery: a literature review. J Formos Med Assoc. 2015;114:300–7.

    Article  Google Scholar 

  17. Centenero SA-H, Hernández-Alfaro F. 3D planning in orthognathic surgery: CAD/CAM surgical splints and prediction of the soft and hard tissues results–our experience in 16 cases. J Cranio-Maxillofac Surg. 2012;40:162–8.

    Article  Google Scholar 

  18. Wrzosek M, Peacock Z, Laviv A, Goldwaser B, Ortiz R, Resnick C, et al. Comparison of time required for traditional versus virtual orthognathic surgery treatment planning. Int J Oral Maxillofac Surg. 2016;45:1065–9.

    Article  Google Scholar 

  19. Pascal E, Majoufre C, Bondaz M, Courtemanche A, Berger M, Bouletreau P. Current status of surgical planning and transfer methods in orthognathic surgery. J Stomatol Oral Maxillofac Surg. 2018;119:245–8.

    Article  Google Scholar 

  20. Hammoudeh JA, Howell LK, Boutros S, Scott MA, Urata MM. Current status of surgical planning for orthognathic surgery: traditional methods versus 3D surgical planning. Plast Reconstr Surg Glob Open. 2015;3:e307.

    Article  Google Scholar 

  21. Mazzoni S, Badiali G, Lancellotti L, Babbi L, Bianchi A, Marchetti CJJCS. Simulation-guided navigation: a new approach to improve intraoperative three-dimensional reproducibility during orthognathic surgery. J Oral Maxillofac Surg. 2010;21:1698–705.

    Google Scholar 

  22. Mazzoni S, Bianchi A, Schiariti G, Badiali G, Marchetti C. Computer-aided design and computer-aided manufacturing cutting guides and customized titanium plates are useful in upper maxilla waferless repositioning. J Oral Maxillofac Surg. 2015;73:701–7.

    Article  Google Scholar 

  23. Martelli N, Serrano C, Hvd B, Pineau J, Prognon P, Borget I, et al. Advantages and disadvantages of 3-dimensional printing in surgery: a systematic review. J Surg. 2016;159:1485–500.

    Google Scholar 

  24. Rengier F, Mehndiratta A, von Tengg-Kobligk H, Zechmann CM, Unterhinninghofen R, Kauczor HU. 3D printing based on imaging data: review of medical applications. Int J Comput Assist Radiol Surg. 2010;5:335–41.

    Article  Google Scholar 

  25. Ciocca L, Fantini M, De Crescenzio F, Persiani F, S R. Computer-aided design and manufacturing construction of a surgical template for craniofacial implant positioning to support a definitive nasal prosthesis. Clin Oral Implants Res. 2011;22:850–6.

    Article  Google Scholar 

  26. Antony A, Chen W, Kolokythas A, Weimer K, Cohen MN. Use of virtual surgery and stereolithography-guided osteotomy for mandibular reconstruction with the free fibula. Plast Reconstr Surg. 2011;128:1080–4.

    Article  Google Scholar 

  27. Murphy S, Atala A. 3D bioprinting of tissues and organs. Nat Biotechnol. 2014;32:773–85.

    Article  Google Scholar 

  28. Bobek SL. Applications of navigation for orthognathic surgery. Oral Maxillofac Surg Clin North Am. 2014;26:587–98.

    Article  Google Scholar 

  29. Dai J, Wu J, Wang X, Yang X, Wu Y, Xu B, et al. An excellent navigation system and experience in craniomaxillofacial navigation surgery: a double-center study. Sci Rep. 2016;6:28242.

    Article  Google Scholar 

  30. Kaduk WM, Podmelle F, Louis PJ. Surgical navigation in reconstruction. Oral Maxillofac Surg Clin North Am. 2013;25:313–33.

    Article  Google Scholar 

  31. Sun Y, Luebbers H-T, Agbaje JO, Lambrichts I, Politis C. The accuracy of image-guided navigation for maxillary positioning in bimaxillary surgery. J Craniofac Surg. 2014;25:1095–9.

    Article  Google Scholar 

  32. Surgical navigation systems market size, share & trends analysis report by end use (ambulatory surgical centres, hospitals), by technology, by application (neurology, ENT), and segment forecasts, 2018–2025. www.grandviewresearch.com; 2018. (cited 2018 27/08/2018).

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Chng, C.K., Gandedkar, N.H., Liou, E.J.W. (2019). Future of Surgery-First Orthognathic Approach. In: Surgery-First Orthodontic Management. Springer, Cham. https://doi.org/10.1007/978-3-030-18696-8_14

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  • DOI: https://doi.org/10.1007/978-3-030-18696-8_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-18695-1

  • Online ISBN: 978-3-030-18696-8

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