Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases

Virtual planning has revolutionized orthognathic surgery (OGS), marking a significant advancement in the field. This study aims to showcase the practical application of our established 3D average skull template as a guiding framework for surgical planning, and to share valuable insights from our cli...

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Main Authors: Hsiu-Hsia Lin, Jyun-Cheng Kuo, Lun-Jou Lo, Cheng-Ting Ho
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/24/7758
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author Hsiu-Hsia Lin
Jyun-Cheng Kuo
Lun-Jou Lo
Cheng-Ting Ho
author_facet Hsiu-Hsia Lin
Jyun-Cheng Kuo
Lun-Jou Lo
Cheng-Ting Ho
author_sort Hsiu-Hsia Lin
collection DOAJ
description Virtual planning has revolutionized orthognathic surgery (OGS), marking a significant advancement in the field. This study aims to showcase the practical application of our established 3D average skull template as a guiding framework for surgical planning, and to share valuable insights from our clinical experience. We enrolled 30 consecutive Taiwanese patients (18 females and 12 males) who underwent two-jaw orthognathic surgery with surgical simulation, utilizing the average skull template for planning. Results indicate the method’s applicability and precision. By adhering to the surgical plan, post-operative outcomes closely aligned with the average skull template, showing negligible deviations of less than 2 mm. Moreover, patients expressed high satisfaction with post-surgery facial changes, with the chin appearance receiving the highest satisfaction scores, while the lowest scores were attributed to nose appearance. Notably, the substantial change in lower jaw position post-mandibular setback surgery contributed to increased satisfaction with the chin position. In conclusion, this study does not seek to replace established surgical planning methods, but underscores that utilizing an average skull as a surgical design template provides a viable, accurate, and efficient option for OGS patients.
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spelling doaj.art-4b6cbddd72d348e39e898b853c4a6c5b2023-12-22T14:17:41ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-011224775810.3390/jcm12247758Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient CasesHsiu-Hsia Lin0Jyun-Cheng Kuo1Lun-Jou Lo2Cheng-Ting Ho3Craniofacial Research Center, Chang Gung Memorial Hospital, Taoyuan City 333, TaiwanDental Department of TuCheng Hospital, New Taipei Municipal, New Taipei City 236, TaiwanDepartment of Plastic and Reconstructive Surgery, Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, TaiwanDivision of Craniofacial Orthodontics, Department of Dentistry, Chang Gung Memorial Hospital, Taoyuan City 333, TaiwanVirtual planning has revolutionized orthognathic surgery (OGS), marking a significant advancement in the field. This study aims to showcase the practical application of our established 3D average skull template as a guiding framework for surgical planning, and to share valuable insights from our clinical experience. We enrolled 30 consecutive Taiwanese patients (18 females and 12 males) who underwent two-jaw orthognathic surgery with surgical simulation, utilizing the average skull template for planning. Results indicate the method’s applicability and precision. By adhering to the surgical plan, post-operative outcomes closely aligned with the average skull template, showing negligible deviations of less than 2 mm. Moreover, patients expressed high satisfaction with post-surgery facial changes, with the chin appearance receiving the highest satisfaction scores, while the lowest scores were attributed to nose appearance. Notably, the substantial change in lower jaw position post-mandibular setback surgery contributed to increased satisfaction with the chin position. In conclusion, this study does not seek to replace established surgical planning methods, but underscores that utilizing an average skull as a surgical design template provides a viable, accurate, and efficient option for OGS patients.https://www.mdpi.com/2077-0383/12/24/7758virtual planningorthognathic surgery (OGS)average skull templateguiding frameworksurgical simulation
spellingShingle Hsiu-Hsia Lin
Jyun-Cheng Kuo
Lun-Jou Lo
Cheng-Ting Ho
Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases
Journal of Clinical Medicine
virtual planning
orthognathic surgery (OGS)
average skull template
guiding framework
surgical simulation
title Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases
title_full Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases
title_fullStr Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases
title_full_unstemmed Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases
title_short Optimizing Orthognathic Surgery: Leveraging the Average Skull as a Dynamic Template for Surgical Simulation and Planning in 30 Patient Cases
title_sort optimizing orthognathic surgery leveraging the average skull as a dynamic template for surgical simulation and planning in 30 patient cases
topic virtual planning
orthognathic surgery (OGS)
average skull template
guiding framework
surgical simulation
url https://www.mdpi.com/2077-0383/12/24/7758
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