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The Accuracy of Computer Image-Guided Template for Mandibular Angle Ostectomy

  • Original Article
  • Craniofacial/Maxillofacial
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Mandibular angle ostectomy (MAO) is commonly used to correct prominent mandibular angles through an intraoral approach. However, limited vision in the operative site may lead to difficulties or complications during surgery. Therefore, it is necessary to develop an effective method for helping surgeons to perform MAO more precisely and safely.

Methods

In this study, we report a novel method of a computer image-guided surgical template for navigation of MAO, and evaluate its accuracy and clinical outcomes. Nine patients with a prominent mandibular angle were enrolled in this study. A pair of stereolithographic templates was fabricated by computer-aided image design and 3D printing. In all cases, bilateral MAO was performed under the guide of these templates. Post-operative effects were evaluated by 3D curve functions and maximal shell-to-shell deviations.

Results

All patients were satisfied with their cosmetic outcomes. The mean and SD of ICC between R-Sim and R-Post were 0.958 ± 0.011; between L-Sim and L-Post, 0.965 ± 0.014; and between R-Post and L-Post, 0.964 ± 0.013. The maximal shell-to-shell deviations between the simulated mandibular contour and post-operative mandibular contour on the right and left sides were 2.02 ± 0.32 and 1.97 ± 0.41 mm, respectively.

Conclusion

The results of this study suggest that this new technique could assist surgeons in making better pre-surgical plans and ensure more accurate and safer manipulation for completion of this procedure.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgments

This work was supported by a Grant from Foundation of Ministry of Education of China (No. 20130181130004). We also thank 3D Orthodontics & Craniofacial Laboratory, Shanghai TiTOK Medical Technology Co., Ltd.

Conflicts of interest

The authors declare that they have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Center of Orthognathic Surgery and Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China

    Niansong Ye, Hu Long, Songsong Zhu, Yunqiang Yang, Wenli Lai & Jing Hu

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  1. Niansong Ye
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  2. Hu Long
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  3. Songsong Zhu
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  4. Yunqiang Yang
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  5. Wenli Lai
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  6. Jing Hu
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Correspondence to Jing Hu.

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Ye, N., Long, H., Zhu, S. et al. The Accuracy of Computer Image-Guided Template for Mandibular Angle Ostectomy. Aesth Plast Surg 39, 117–123 (2015). https://doi.org/10.1007/s00266-014-0424-1

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  • DOI: https://doi.org/10.1007/s00266-014-0424-1

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