Advertisement

An innovative universal protocol for orthognathic surgery three-dimensional virtual simulation

  • Author Footnotes
    1 ORCID ID: 0000–0003-0861–9919
    F. Melhem-Elias
    Correspondence
    Correspondence to: Department of Oral and Maxillofacial Surgery, University of São Paulo Scholl of Dentistry, Av. Prof. Lineu Prestes, 2227, São Paulo, SP 05088-000, Brazil.
    Footnotes
    1 ORCID ID: 0000–0003-0861–9919
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of São Paulo School of Dentistry, São Paulo-SP, Brazil

    Private Practice in Oral and Maxillofacial Surgery, São Paulo-SP, Brazil
    Search for articles by this author
  • Author Footnotes
    2 ORCID ID: 0000–0002-0554–8505
    B.A.Q. Reis
    Footnotes
    2 ORCID ID: 0000–0002-0554–8505
    Affiliations
    Private Practice in Oral and Maxillofacial Surgery, São Paulo-SP, Brazil
    Search for articles by this author
  • Author Footnotes
    3 ORCID ID: 0000–0001-9808–8714
    F.A.C. Afonso
    Footnotes
    3 ORCID ID: 0000–0001-9808–8714
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of São Paulo School of Dentistry, São Paulo-SP, Brazil
    Search for articles by this author
  • Author Footnotes
    4 ORCID ID: 0000–0002-7424–373X
    M.D.A. Barretto
    Footnotes
    4 ORCID ID: 0000–0002-7424–373X
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of São Paulo School of Dentistry, São Paulo-SP, Brazil
    Search for articles by this author
  • Author Footnotes
    5 ORCID ID: 0000–0002-2966–6039
    M.C.Z. Deboni
    Footnotes
    5 ORCID ID: 0000–0002-2966–6039
    Affiliations
    Department of Oral and Maxillofacial Surgery, University of São Paulo School of Dentistry, São Paulo-SP, Brazil
    Search for articles by this author
  • Author Footnotes
    1 ORCID ID: 0000–0003-0861–9919
    2 ORCID ID: 0000–0002-0554–8505
    3 ORCID ID: 0000–0001-9808–8714
    4 ORCID ID: 0000–0002-7424–373X
    5 ORCID ID: 0000–0002-2966–6039
Published:September 14, 2022DOI:https://doi.org/10.1016/j.ijom.2022.09.001

      Abstract

      The aim of this technical note is to describe a protocol for three-dimensional virtual simulation of orthognathic surgery that has been designed to be easily implemented, without the need for any special clinical apparatus, software brand, or computed tomography sequence. The protocol comprises innovative concepts and simplified steps for image segmentation, creation of a composite skull, control of the condylar position, and sequencing of bimaxillary surgery. This protocol was applied by the developers in about 2000 cases performed between 2015 and 2022, and has become quite popular among local surgeons. Previous preliminary studies have shown that it meets the accuracy standards for clinical use, although further studies with larger numbers of patients are desirable for additional validation.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to International Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Xia J.J.
        • Gateno J.
        • Teichgraeber J.F.
        Three-dimensional computer-aided surgical simulation for maxillofacial surgery.
        Atlas Oral Maxillofac Surg Clin N Am. 2005; 13: 25-39https://doi.org/10.1016/j.cxom.2004.10.004
        • Xia J.J.
        • Gateno J.
        • Teichgraeber J.F.
        New clinical protocol to evaluate craniomaxillofacial deformity and plan surgical correction.
        J Oral Maxillofac Surg. 2009; 67: 2093-2106https://doi.org/10.1016/j.joms.2009.04.057
        • Swennen G.R.J.
        • Mollemans W.
        • Schutyser F.
        Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging.
        J Oral Maxillofac Surg. 2009; 67: 2080-2092https://doi.org/10.1016/j.joms.2009.06.007
        • Bobek S.
        • Farrell B.
        • Choi C.
        • Farrell B.
        • Weimer K.
        • Tucker M.
        Virtual surgical planning for orthognathic surgery using digital data transfer and an intraoral fiducial marker: the Charlotte method.
        J Oral Maxillofac Surg. 2015; 73: 1143-1158https://doi.org/10.1016/j.joms.2014.12.008
        • Barreto M.D.A.
        • Melhem-Elias F.
        • Deboni M.C.Z.
        Methods of mandibular condyle position and rotation center used for orthognathic surgery planning: a systematic review.
        J Stomatol Oral Maxillofac Surg. 2022; 123: 345-352https://doi.org/10.1016/j.jormas.2021.06.004
        • Elias F.M.
        Planejamento virtual em cirurgia ortognática: uma mudança de paradigma.
        in: de Odontologia Associação Brasileira Pinto T. Vasconcellos R.J.H. Prado R. Pro-odonto Cirurgia. Programa de Atualização em Odontologia Cirúrgica: Ciclo 8. Artmed Panamericana, Porto Alegre2014: 123-159
        • Elias F.M.
        • Reis B.A.Q.
        • Afonso F.A.C.
        Protocolo universal para simulação virtual 3D em cirurgia ortognática.
        in: Prado R. Salim M. Cirurgia Bucomaxilofacial—Diagnóstico e Tratamento. Second edition. Guanabara Koogan, Rio de Janeiro2018: 681-703
        • Tonin R.H.
        • Iwaki Filho L.
        • Yamashita A.L.
        • Ferraz F.W.D.S.
        • Tolentino E.S.
        • Previdelli I.T.D.S.
        • Brum B.
        • Iwaki L.C.V.
        Accuracy of 3D virtual surgical planning for maxillary positioning and orientation in orthognathic surgery.
        Orthod Craniofac Res. 2020; 23: 229-236https://doi.org/10.1111/ocr.12363
        • Hsu S.S.P.
        • Gateno J.
        • Bell R.B.
        • Hirsch D.L.
        • Markiewicz M.R.
        • Teichgraeber J.F.
        • Zhou X.
        • Xia J.J.
        Accuracy of a computer-aided surgical simulation protocol for orthognathic surgery: a prospective multicenter study.
        J Oral Maxillofac Surg. 2013; 71: 128-142https://doi.org/10.1016/j.joms.2012.03.027
        • Posselt U.
        Studies in the mobility of the human mandible.
        Acta Odontol Scand. 1952;