RT Journal Article
T1 Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
A1 Antúnez Conde Hidalgo, Raúl
A1 Silva Canal, José Luis
A1 Navarro Cuéllar, Carlos
A1 Sánchez Gallego Albertos, Celia
A1 Arias Gallo, Javier
A1 Navarro Cuéllar, Ignacio
A1 López Davis, Antonio
A1 Demaria Martínez, Gastón
A1 Naranjo Aspas, Néstor
A1 Zamorano León, José Javier
A1 Chamorro Pons, Manuel
AB Background: Genioplasty as an isolated surgical technique is a highly demanded procedure in the maxillofacial surgery area. Advances in facial reconstructive surgery have been associated with less morbidity and more predictable results. In this paper, “conventional” genioplasty and genioplasty by means of virtual surgical planning (VSP), CAD-CAM cutting guides, and patient custom-made plates are compared. Methods: A descriptive observational study was designed and implemented, and 43 patients were treated, differentiating two groups according to the technique: 18 patients were treated by conventional surgery, and 25 patients were treated through virtual surgical planning (VSP), CAD-CAM cutting guides, STL models, and titanium patient-specific plates. Results: The operation time ranged from 35 to 107 min. The mean operative time in the conventional group was 60.06 + 3.74 min.; in the custom treatment group it was 42.24 + 1.29 min (p < 0.001). The difference between planned and obtained chin changes in cases of advancement or retrusion was not statistically significant (p = 0.125; p = 0.216). In cases of chin rotation due to asymmetry, guided and personalized surgery was superior to conventional surgery (p < 0.01). The mean hospital stay was equal in both groups. A decrease in surgical complications was observed in the group undergoing VSP and customized treatment. Conclusions: Multi-stage implementation of VSP with CAD-CAM cutting guides, STL models, and patient-specific plates increased the accuracy of the genioplasty surgery, particularly in cases of chin asymmetry, reducing operation time and potential complications.
PB MDPI
SN 2075-4426
YR 2023
FD 2023-12-12
LK https://hdl.handle.net/20.500.14352/103480
UL https://hdl.handle.net/20.500.14352/103480
LA eng
NO Antúnez-Conde Hidalgo R, Silva Canal JL, Navarro Cuéllar C, Sánchez Gallego-Albertos C, Arias Gallo J, Navarro Cuéllar I, López Davis A, Demaria Martínez G, Naranjo Aspas N, Zamorano León J, Chamorro Pons M. Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery. J Pers Med. 2023 Dec 12;13(12):1702. doi: 10.3390/jpm13121702
DS Docta Complutense
RD 18 abr 2025