RT Journal Article
T1 Waferless orthognatic surgery with customized osteosynthesis and surgical guides: A prospective study
A1 Espino-Segura-Illa, Marc
A1 Camps Font, Octavi
A1 Ferrer Fuertes, Ada
A1 Cuesta González, Fran
A1 Zubillaga Rodríguez, Ignacio
A1 Sieira Gil, Ramón
AB The purpose of this paper was to describe and to evaluate the accuracy of a protocol that involves CAD/CAM-generated cutting guides and customized titanium plates for waferless orthognathic surgery. Twenty-one patients consecutively treated between January 2021 and January 2023 were included. The preoperative virtual surgical plan (VSP) was compared with the final position determined from the postoperative CT scan and STL files. An alignment algorithm was employed to adjust the skull position in areas unaffected by the surgery. Absolute and signed deviations were calculated across all three dimensions for each maxilla, mandible and chin landmark. The accuracy analysis revealed an overall deviation of 0.93 mm (95% confidence interval [95%CI]: 0.86 to 0.99), which was < 2 mm for all assessed landmarks (p < 0.05; one-sample t-test). The mandibular landmarks showed greater deviation than the maxillary ones (p < 0.001; independent-samples t-test). Considering the deviations along the three axes, statistically significant differences were identified (p < 0.001; one-way analysis of variance). The reported protocol provides evidence on the benefit of guided orthognathic surgery when performed using a defined VSP protocol, improving accuracy in the maxilla, mandible and chin position, considered both globally and as isolated variables.
PB MDPI
SN 2076-3417
YR 2024
FD 2024-02-25
LK https://hdl.handle.net/20.500.14352/136733
UL https://hdl.handle.net/20.500.14352/136733
LA eng
NO Espino-Segura-Illa, M.; Camps-Font, O.; Ferrer-Fuertes, A.; Cuesta-González, F.; Zubillaga-Rodríguez, I.; Sieira-Gil, R. Waferless Orthognathic Surgery with Customized Osteosynthesis and Surgical Guides: A Prospective Study. Appl. Sci. 2024, 14, 1893. https:// doi.org/10.3390/app14051893
DS Docta Complutense
RD 21 may 2026