Virtual Surgical Planning in Orthognathic Surgery: a Dental Hospital's 10-year Experience

Overview

Journal Oral Maxillofac Surg

Specialties Dentistry
General Surgery

Date 2023 Nov 23

PMID 37996564

Authors

Cheryl Ker Jia Lee

Chee Weng Yong

Leonardo Saigo

Yi Jin Ren

Ming Tak Chew

Affiliations

Soon will be listed here.

Abstract

Purpose: The primary objective of this study was to evaluate how the utilization of virtual surgical planning (VSP) and the epidemiological profile of patients undergoing orthognathic surgery (OGS) have changed in the past decade.

Methods: The records of patients who had undergone orthognathic surgery at a national dental hospital were reviewed. Trends in VSP, epidemiological data, presentation of dentofacial deformity, and management details were recorded.

Results: A total of 1184 patients were included in this study. The majority of the patients seeking treatment in this dental hospital were young Chinese adults with dentofacial deformities requiring bimaxillary surgeries. Most patients presented with a skeletal Class III pattern (79.0%), and asymmetry was diagnosed in 80.8% of all cases.

Conclusion: There was an initial slow pick-up rate for VSP, but this rapidly increased to a high adoption rate of 98.7-100% between 2019 and 2021. Together with an increasing body of evidence suggesting greater accuracy in VSP, utilization in this technology can be enhanced with greater familiarity with the technology and improvements in the VSP services.

Citing Articles

Three-dimensional digital model of the facial nerve assisted in the excision of benign parotid tumors based on 3D-DESS-WE-MRI.

Tong C, Luo S, Li Z, Dong Y, Liu Z, Meng X Sci Rep. 2024; 14(1):30893.

PMID: 39730663 PMC: 11680808. DOI: 10.1038/s41598-024-81498-5.

References

Lin L, Kalmar C, Vu G, Zimmerman C, Humphries L, Swanson J . Value-Based Analysis of Virtual Versus Traditional Surgical Planning for Orthognathic Surgery. J Craniofac Surg. 2020; 31(5):1238-1242. DOI: 10.1097/SCS.0000000000006426. View

Rossi D, Romano M, Sweed A, Baj A, Gianni A, Beltramini G . Use of CAD-CAM technology to improve orthognathic surgery outcomes in patients with severe obstructive sleep apnoea syndrome. J Craniomaxillofac Surg. 2019; 47(9):1331-1337. DOI: 10.1016/j.jcms.2019.06.010. View

Lee K, Tan S, Low H, Chen L, Yong C, Chew M . Accuracy of 3-dimensional soft tissue prediction for orthognathic surgery in a Chinese population. J Stomatol Oral Maxillofac Surg. 2021; 123(5):551-555. DOI: 10.1016/j.jormas.2021.08.001. View

da Silva Ferraz F, Iwaki-Filho L, de Souza-Pinto G, Vessoni Iwaki L, Li A, de Almeida Cardoso M . A comparative study of the accuracy between two computer-aided surgical simulation methods in virtual surgical planning. J Craniomaxillofac Surg. 2020; 49(2):84-92. DOI: 10.1016/j.jcms.2020.12.002. View

Seo H, Choi Y . Current trends in orthognathic surgery. Arch Craniofac Surg. 2022; 22(6):287-295. PMC: 8721433. DOI: 10.7181/acfs.2021.00598. View

Jandali D, Barrera J . Recent advances in orthognathic surgery. Curr Opin Otolaryngol Head Neck Surg. 2020; 28(4):246-250. DOI: 10.1097/MOO.0000000000000638. View

Kim Y, Lee B . Recent Trends in Orthognathic Surgery in Asia. Facial Plast Surg Clin North Am. 2021; 29(4):549-566. DOI: 10.1016/j.fsc.2021.06.006. View

Kalmar C, Carlson A, Patel V, Zapatero Z, Kosyk M, Taylor J . Pediatric Orthognathic Surgery: National Analysis of Perioperative Complications. J Craniofac Surg. 2021; 32(8):e798-e804. DOI: 10.1097/SCS.0000000000007843. View

Boeck E, Lunardi N, Dos Santos Pinto A, Pizzol K, Boeck Neto R . Occurrence of skeletal malocclusions in Brazilian patients with dentofacial deformities. Braz Dent J. 2011; 22(4):340-5. DOI: 10.1590/s0103-64402011000400014. View

10.

Sato F, Mannarino F, Asprino L, de Moraes M . Prevalence and treatment of dentofacial deformities on a multiethnic population: a retrospective study. Oral Maxillofac Surg. 2013; 18(2):173-9. DOI: 10.1007/s10006-013-0396-3. View

11.

Yoshikawa H, Tanikawa C, Ito S, Tsukiboshi Y, Ishii H, Kanomi R . A three-dimensional cephalometric analysis of Japanese adults and its usefulness in orthognathic surgery: A retrospective study. J Craniomaxillofac Surg. 2022; 50(4):353-363. DOI: 10.1016/j.jcms.2022.02.002. View

12.

Chew M . Spectrum and management of dentofacial deformities in a multiethnic Asian population. Angle Orthod. 2006; 76(5):806-9. DOI: 10.1043/0003-3219(2006)076[0806:SAMODD]2.0.CO;2. View

13.

Safi S, Thiessen T, Schmailzl K . Acceptance and Resistance of New Digital Technologies in Medicine: Qualitative Study. JMIR Res Protoc. 2018; 7(12):e11072. PMC: 6299231. DOI: 10.2196/11072. View

14.

Ho C, Lin H, Liou E, Lo L . Three-dimensional surgical simulation improves the planning for correction of facial prognathism and asymmetry: A qualitative and quantitative study. Sci Rep. 2017; 7:40423. PMC: 5223192. DOI: 10.1038/srep40423. View

15.

Cheong Y, Lo L . Facial asymmetry: etiology, evaluation, and management. Chang Gung Med J. 2011; 34(4):341-51. View

16.

Swennen G, Mollemans W, Schutyser F . Three-dimensional treatment planning of orthognathic surgery in the era of virtual imaging. J Oral Maxillofac Surg. 2009; 67(10):2080-92. DOI: 10.1016/j.joms.2009.06.007. View

17.

Plooij J, Maal T, Haers P, Borstlap W, Kuijpers-Jagtman A, Berge S . Digital three-dimensional image fusion processes for planning and evaluating orthodontics and orthognathic surgery. A systematic review. Int J Oral Maxillofac Surg. 2010; 40(4):341-52. DOI: 10.1016/j.ijom.2010.10.013. View

18.

Liebregts J, Xi T, Timmermans M, de Koning M, Berge S, Hoppenreijs T . Accuracy of three-dimensional soft tissue simulation in bimaxillary osteotomies. J Craniomaxillofac Surg. 2015; 43(3):329-35. DOI: 10.1016/j.jcms.2014.12.012. View

19.

Lin H, Chang H, Wang C, Kim S, Lo L . Three-dimensional computer-assisted orthognathic surgery: experience of 37 patients. Ann Plast Surg. 2015; 74 Suppl 2:S118-26. DOI: 10.1097/SAP.0000000000000455. View

20.

Schwartz H . Does computer-aided surgical simulation improve efficiency in bimaxillary orthognathic surgery?. Int J Oral Maxillofac Surg. 2013; 43(5):572-6. DOI: 10.1016/j.ijom.2013.10.018. View