Journal of Cranio-Maxillofacial Surgery最新文献_第10页

Maxillary advancement surgery with vertical component: Impact on the nasolabial aesthetics 带垂直组件的上颌前突手术：对鼻唇美学的影响

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jcms.2024.08.011

Turhan Bıçkı , Emre Tosun , Salih Eren Meral , Hakan Hıfzı Tüz , Hanife Avcı

{"title":"Maxillary advancement surgery with vertical component: Impact on the nasolabial aesthetics","authors":"Turhan Bıçkı , Emre Tosun , Salih Eren Meral , Hakan Hıfzı Tüz , Hanife Avcı","doi":"10.1016/j.jcms.2024.08.011","DOIUrl":"10.1016/j.jcms.2024.08.011","url":null,"abstract":"<div><div>The aim of this study is to evaluate the changes in nasolabial soft tissues following Le Fort I osteotomies, focusing on the impact of maxillary vertical repositioning.</div><div>This retrospective study included 39 patients with a history of Le Fort 1 osteotomy between 2013 and 2021. Patients were grouped based on their maxillary movement into three categories: pure advancement (group A), advancement with impaction (group B), and advancement with downward repositioning (group C). Preoperative and postoperative CBCT (Cone Beam Computed Tomography) data were analyzed to measure the changes in nasolabial soft tissues. The current study utilized Mimics Suite 20.0 for measuring linear and angular variables. The evaluated variables included intercanthal distance, nasal dorsal length, tip protrusion, mouth width, alar width, upper lip height, nostril dimensions, and angles of nasolabial, alar base, and upper lip. Among them intercanthal distance, nasal dorsal length, or tip protrusion showed no statistical difference (p > 0,05). Mouth width, alar width, alar base angle were increased and upper lip angle was decreased significantly (p < 0.001). Changes in upper lip height and nasolabial angle differed among the groups of the study. While upper lip height increased significantly in groups A and C (p < 0.05), there was a slight decrease in Group B with no significance (p > 0.05). Nasolabial angle decrased significantly on Groups A and B (p < 0.05).</div><div>The results of this study revealed changes in several soft tissue parameters, some of which occurred regardless of vertical repositioning of the maxilla. Within the limitations of the study, maxillary advancement surgery can affect the aesthetics of the nasolabial region and cause specific changes in related soft tissues. Understanding these changes is essential to establish realistic patient expectations and achieve optimal functional and aesthetic outcomes.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 12","pages":"Pages 1415-1421"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical guidance based on MRI for the management of temporomandibular joint synovial chondromatosis: One institution's experience 基于磁共振成像的颞下颌关节滑膜软骨瘤病治疗临床指导：一家机构的经验。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jcms.2024.08.017

Siyu Wu , Simo Xia , Shijing Yue , Guo Bai , Minjie Chen , Chi Yang

{"title":"Clinical guidance based on MRI for the management of temporomandibular joint synovial chondromatosis: One institution's experience","authors":"Siyu Wu , Simo Xia , Shijing Yue , Guo Bai , Minjie Chen , Chi Yang","doi":"10.1016/j.jcms.2024.08.017","DOIUrl":"10.1016/j.jcms.2024.08.017","url":null,"abstract":"<div><div>The aim of this retrospective observational study was to introduce a comprehensive MRI evaluation criterion for the clinical management of synovial chondromatosis of the temporomandibular joint (TMJ-SC). Patients received different treatments according to the MRI evaluation system: bone erosion, extent, articular disc condition, location, maturity, and size of loose body. At least a 2-year follow-up was completed to assess tumor recurrence, visual analogue scale score for pain (VAS) and maximum interincisal opening (MIO). Of the 195 patients included for TMJ-SC, 34 received arthroscopy and 161 received open surgery. Among the patients with significant extent of SC, 32 received temporary resection of the condylar neck or zygomatic arch and 2 received treatment combined with ear, nose and throat(ENT). 28 received articular disc reconstruction and 56 received disc repositioning. Patients showed good recovery of joint function with only two cases of tumor recurrence at an average follow-up of 75.1 months after surgery. The MIO had improved from 30.2 mm to 40.0 mm(P < 0.0001) and VAS had decreased from 5.1 to 0.78(P < 0.0001).The preoperative MRI evaluation principles has been effective in selecting appropriate surgical options.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 12","pages":"Pages 1434-1440"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142193732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative respiratory difficulties following primary cleft palate repair in infants with Robin sequence versus isolated cleft palate: A retrospective study 罗宾序列与孤立性腭裂婴儿初次腭裂修复术后的呼吸困难：回顾性研究。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jcms.2024.08.021

Shirley van de Velde , Merel M. Smit , Robrecht J.H. Logjes , Enrico Martin , Maartje Haasnoot , Aebele B. Mink van der Molen , Emma C. Paes

{"title":"Postoperative respiratory difficulties following primary cleft palate repair in infants with Robin sequence versus isolated cleft palate: A retrospective study","authors":"Shirley van de Velde , Merel M. Smit , Robrecht J.H. Logjes , Enrico Martin , Maartje Haasnoot , Aebele B. Mink van der Molen , Emma C. Paes","doi":"10.1016/j.jcms.2024.08.021","DOIUrl":"10.1016/j.jcms.2024.08.021","url":null,"abstract":"<div><div>The study aimed to: (1) compare the occurrence of postoperative respiratory difficulties (PRD) following primary cleft palate repair (CPR) in infants with an isolated cleft palate (iCP) and infants with Robin sequence (RS), and (2) describe the possible benefit of preoperative analysis with palatal plate in infants with RS.</div><div>All consecutive infants with an iCP and infants with RS who underwent CPR between January 2009 and June 2022 in the Wilhelmina Children's Hospital were retrospectively reviewed.</div><div>A total of 127 infants were included of which 74 infants with an iCP and 53 infants with RS. The group of infants with RS consisted of 35 infants with non-isolated RS (niRS) and 18 infants with isolated RS (iRS). Significant more PRD were seen in infants with RS compared to infants with an iCP (14/53 versus 9/74; p = 0.04). Especially infants with niRS have a significant higher risk of developing PRD in comparison with infants with an iCP (OR = 4.16, 95% CI [1.17–15.99], p = 0.031). The preoperative palatal plate screening in infants with RS (n = 25) did not show abnormalities and had no effect on the perioperative policy.</div><div>Within the limitations of this study it seems that infants with niRS are more prone to develop PRD following primary CPR when compared to infants with iRS or an iCP. No clear benefit was found in postponing surgery until 12 months or later in infants with RS to avoid PRD. The preoperative palatal plate screening did not demonstrate signs of UAO in infants with RS that developed PRD. These findings suggest that preoperative analysis with palatal plate has a low predictive value.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 12","pages":"Pages 1441-1448"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142193729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

“The correlation between histopathological pattern and surgical treatment for palatal pleomorphic adenoma. Can we choose a more conservative approach?” "腭多形性腺瘤组织病理学形态与手术治疗的相关性。我们能否选择更保守的方法？

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jcms.2024.08.015

Keidar Zar , Rami Tabib , Heli Rushinek , Itay Madmon , Tal Keidar Haran , Michael Alterman

{"title":"“The correlation between histopathological pattern and surgical treatment for palatal pleomorphic adenoma. Can we choose a more conservative approach?”","authors":"Keidar Zar , Rami Tabib , Heli Rushinek , Itay Madmon , Tal Keidar Haran , Michael Alterman","doi":"10.1016/j.jcms.2024.08.015","DOIUrl":"10.1016/j.jcms.2024.08.015","url":null,"abstract":"<div><div>Pleomorphic adenoma (PA) is the most prevalent benign salivary gland tumor. Although rare, among the minor salivary glands, palatal PA exhibits the highest incidence. Unlike other benign tumors, PA infiltrates the surrounding tissues, posing challenges for complete removal through conservative measures. Surgeons often resort to aggressive surgical procedures involving resection of adjacent tissue to ensure clear margins and prevent recurrence.</div><div>This study aims to analyze diverse histological characteristics of palatal PA, seeking statistical correlations for early prediction of tumor aggressiveness. The goal is to facilitate the preservation of the periosteum during surgical resection and attain conservative surgical margins. A retrospective histopathological investigation encompassed 18 patients diagnosed with palatal PA who underwent surgical treatment at Hadassah Medical Centre, Jerusalem, Israel. Evaluated parameters included tumor size, pseudocapsule thickness, tumor-periosteum distance, and the presence of pseudopodia and satellite nodules indicating tumor penetration. Statistical significance was set at P < 0.05.</div><div>Tumors of varying sizes, whether large or small, lack consistent features. Neither tumor size, pseudocapsule thickness, nor tumor-periosteum distance displayed correlations with tumor penetration features. Palatal PA exhibits varied histological attributes impacting surgical technique. The absence of correlations among these attributes impedes early prediction of tumor aggressiveness, casting doubt on periosteum preservation. The periosteum is sufficiently robust to contain the tumor and should be excised. There is no data to support either ostectomy or a through-and-through surgical resection as part of the treatment.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 12","pages":"Pages 1469-1475"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Condyle head fracture management: A systematic review of outcomes 髁头骨折处理：疗效系统回顾。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jcms.2024.08.019

Chiew Ying Chieng , Anika Patel , Hira Nazir , Sana Ali , Nabeel Bhatti , Niall Mcleod

{"title":"Condyle head fracture management: A systematic review of outcomes","authors":"Chiew Ying Chieng , Anika Patel , Hira Nazir , Sana Ali , Nabeel Bhatti , Niall Mcleod","doi":"10.1016/j.jcms.2024.08.019","DOIUrl":"10.1016/j.jcms.2024.08.019","url":null,"abstract":"<div><div>The management of Condylar Head fractures (CHFs) has historically been with closed treatments(CTR); however, contemporary studies suggest that Open Reduction and Internal Fixation(ORIF) may produce better clinical and radiographic results. Our primary aim was to review the literature on the clinical and radiological outcomes of open and closed management of CHFs.</div><div>A systematic literature search was undertaken using EMBASE, MEDLINE and PubMed, using PRISMA guidelines, for all studies relating to outcomes following CHF. The inclusion criteria include 1) studies focused on CHF in adult patients that included at least 20 cases 2) published in English language. ROBINS-1 tool was used for risk assessment. Data extracted was analysed and compared using the relative risks.</div><div>A total of 29 studies reporting on 1550 ORIF and 798 CTR were included. ORIF resulted in significantly less trismus (RR 9.5), chin deviation (RR 7.3), malocclusion (RR 6.5), TMJ clicking (RR 4.3) and pain(RR 12.6) than CTR.</div><div>Due to the substantial heterogeneity of studies, firm conclusions are difficult but there does appear to be objective benefits in outcomes following ORIF than CTR. Satisfactory results may however be achieved with CTR. Further large studies using standardised outcome measurements will be required to help elucidate exactly which CHF are best served by ORIF.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 12","pages":"Pages 1476-1484"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigation of nasal cavity alterations in individuals with neurofibromatosis type 1 using CBCT 利用 CBCT 研究 1 型神经纤维瘤病患者的鼻腔改变。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-12-01 DOI: 10.1016/j.jcms.2024.09.002

Ingrid Cristina Pinto da Costa , Bruna Caroline Tomé Barreto , Luísa Schubach da Costa Barreto , Karin Soares Cunha , Andréa de Castro Domingos Vieira , Margareth Maria Gomes de Souza

{"title":"Investigation of nasal cavity alterations in individuals with neurofibromatosis type 1 using CBCT","authors":"Ingrid Cristina Pinto da Costa , Bruna Caroline Tomé Barreto , Luísa Schubach da Costa Barreto , Karin Soares Cunha , Andréa de Castro Domingos Vieira , Margareth Maria Gomes de Souza","doi":"10.1016/j.jcms.2024.09.002","DOIUrl":"10.1016/j.jcms.2024.09.002","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate nasal septum deviation (NSD), nasal bone length (NBL), and the morphology of the middle nasal conchae (MNC) and inferior nasal conchae (INC), as well as their correlations.</div></div><div><h3>Materials and methods</h3><div>The sample included 56 cone-beam computed tomography scans divided into two groups: a study group (SG; individuals with NF1; <em>n</em> = 28) and a control group (CG; individuals without NF1; <em>n</em> = 28). NSD, NBL, MNC, and INC classifications were assessed. MNC images were classified as normal, bullous, paradoxical, secondary, and accessory. INC images were classified as normal, lamellar, compact, combined, and bullous. Intra- and interobserver reliability were evaluated.</div></div><div><h3>Results</h3><div>SG had a mean NSD of 11.6° (±4.5°) compared with 9.6° (±3.2°) for the CG, showing moderate deviations with no significant difference between groups. SG had a mean NBL of 22.4 mm (±3.4 mm) compared with 22.1 mm (±3.2 mm) for the CG, with a statistically significant difference. Both groups exhibited normal, bullosa, and accessory MNC classifications. SG INC were normal, lamellar, and combined, whereas CG INC were normal and lamellar. There was a weak correlation between NSD and NBL across groups.</div></div><div><h3>Conclusion</h3><div>Individuals with NF1 showed longer NBL. The weak correlation between NSD and NBL suggested multifactorial influences on these variations. These findings advance our understanding of craniofacial development in NF1 and highlight the need for further research into nasal cavity involvement in this complex genetic disorder.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 12","pages":"Pages 1491-1496"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simultaneous ortho-surgical expansion and protraction of the maxilla in patients with mature midpalatal suture: A technical note. 腭中缝成熟患者的上颌同时手术扩张和延伸：一个技术注意事项。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-29 DOI: 10.1016/j.jcms.2024.11.007

A Valls-Ontañón, A Lázaro-Abdulkarim, C Lorente-Martín, C Vicente-Martí, T Starch-Jensen, F Hernández-Alfaro

引用次数: 0

Comparison of facial profile attractiveness in pattern III patients treated with facial filling or orthognathic surgery. III型患者面部填充与正颌手术的面部吸引力比较。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-29 DOI: 10.1016/j.jcms.2024.11.017

Fernanda Rabelo Cunha, Tiago Fialho, José Eduardo Prado de Souza, Daniel Salvatore Freitas, Paula Cotrin, Celia Regina Maio Pinzan-Vercelino, Karina Maria Salvatore Freitas, Fabrício Pinelli Valarelli

{"title":"Comparison of facial profile attractiveness in pattern III patients treated with facial filling or orthognathic surgery.","authors":"Fernanda Rabelo Cunha, Tiago Fialho, José Eduardo Prado de Souza, Daniel Salvatore Freitas, Paula Cotrin, Celia Regina Maio Pinzan-Vercelino, Karina Maria Salvatore Freitas, Fabrício Pinelli Valarelli","doi":"10.1016/j.jcms.2024.11.017","DOIUrl":"https://doi.org/10.1016/j.jcms.2024.11.017","url":null,"abstract":"<p><strong>Objective: </strong>To compare facial profile attractiveness according to orthodontists, dentists, and laypeople in pattern III patients treated with facial filling or orthognathic surgery.</p><p><strong>Materials and methods: </strong>Thirty pattern III patients were retrospectively divided into two groups. Group 1 comprised 15 patients (10 females, five males; mean age 37.40 years, SD = 14.50) treated with a hyaluronic acid facial filling. Group 2 comprised 15 patients (seven females, eight males; mean age 31.76 years, SD = 9.85) treated with dental decompensation and orthognathic surgery. Facial profile silhouettes from photographs were evaluated by laypeople (n = 80), dentists (n = 60), and orthodontists (n = 68), who rated attractiveness on a scale from 0 (least attractive) to 10 (most attractive). Profile attractiveness was compared between groups using independent t-tests. Evaluator group scores were compared using one-way ANOVA and Tukey tests.</p><p><strong>Results: </strong>Both the facial filling and surgery groups significantly improved profile attractiveness. Initially (T1), both groups had similar profile attractiveness. Post-treatment (T2), the surgical group had a significantly more attractive profile than the facial filling group. Orthodontists recorded the highest profile attractiveness ratings, dentists gave intermediate scores, and laypeople recorded the lowest, both before and after treatment. Correct answer percentages were similar across the evaluator groups for both treatments.</p><p><strong>Conclusion: </strong>Both treatments significantly improved profile attractiveness, with the surgical group showing greater improvement.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PSI: Planner-specific, physician-specific, or patient-specific implant for orbital reconstruction? PSI：用于眼眶重建的植入物是针对规划师、医生还是患者？

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.03.004

J.F. Sabelis , E. Shaheen , R. Willaert , A.G. Becking , L. Dubois , R. Schreurs

{"title":"PSI: Planner-specific, physician-specific, or patient-specific implant for orbital reconstruction?","authors":"J.F. Sabelis , E. Shaheen , R. Willaert , A.G. Becking , L. Dubois , R. Schreurs","doi":"10.1016/j.jcms.2024.03.004","DOIUrl":"10.1016/j.jcms.2024.03.004","url":null,"abstract":"<div><div>This study aimed to identify and quantify the variations in PSI designs intended for an identical patient.</div><div>Records from 10 patients with an orbital fracture involving two walls, for which a primary orbital reconstruction was indicated, were retrospectively included. Clinical engineers from two centers independently generated proposal designs for all patients. Following web meeting(s) with the surgeon from the same institute, the PSI designs were finalized by the engineer. A cross-over of the engineer with the surgeon of the other center created two new design teams. In total, 20 proposal and 40 final PSI designs were produced. A three-dimensional comparison between different PSI designs for the same patient was performed by computing a difference score.</div><div>Initially, the design proposals of the two engineers showed a median difference score of 37%, which was significantly reduced to a median difference score of 26% for the final designs with different engineers. The median difference score of 22% between surgeons demonstrated that both parties introduced notable user variations to the final designs. Evidence supporting the advantages of an experienced design team was found, with significantly fewer modifications, fewer meetings, and less time required to complete the design (up to 40% time reduction).</div><div>The findings of the study underline the dependency of PSI design on the surgeon and engineer, and support the need for a more evidence-based protocol for PSI design.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1376-1382"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142249953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

3-Dimensional accuracy of navigation-guided bimaxillary orthognathic surgery: A systematic review and meta-analysis 导航引导的双颌正颌手术的三维准确性：系统回顾和荟萃分析。

IF 2.1 2区医学

Journal of Cranio-Maxillofacial Surgery Pub Date : 2024-11-01 DOI: 10.1016/j.jcms.2024.08.010

Leonardo Saigo , Felix Schrader , Majeed Rana , Max Wilkat

{"title":"3-Dimensional accuracy of navigation-guided bimaxillary orthognathic surgery: A systematic review and meta-analysis","authors":"Leonardo Saigo , Felix Schrader , Majeed Rana , Max Wilkat","doi":"10.1016/j.jcms.2024.08.010","DOIUrl":"10.1016/j.jcms.2024.08.010","url":null,"abstract":"<div><div>The transfer of a virtual orthognathic surgical plan to the patient still relies on the use of occlusal splints, which have limitations for vertical positioning of the maxilla. The use of real-time navigation has been proposed to enhance surgical accuracy. This systematic review (PROSPERO CRD42024497588) aimed to investigate if surgical navigation can improve the three-dimensional accuracy of orthognathic surgery. The inclusion criteria were orthognathic surgery, use of intra-operative navigation and quantitative assessment of surgical accuracy. The exclusion criteria were non-bimaxillary orthognathic surgeries, non-clinical studies, studies without post-operative 3D analysis and publications not in the English language. A search of PubMed, Embase and Cochrane Library generated 940 records, of which 12 were found relevant. Risk of bias was assessed done using the Joanna Briggs Institute Critical Appraisal Checklist Tool. Among the included studies, there were nine of observational character and three randomized control studies (RCTs). All studies demonstrated promising outcomes with reported good surgical accuracy within a 2 mm difference between the planned and post-surgical result. Meta-analysis of two RCTs was carried out and results were in favor of surgical navigation with a total odds ratio of 4.44 [2.11, 9.37] and an overall effect outcome of Z = 3.92 (p < 0.0001). Navigation was up to 0.60 mm more accurate than occlusal wafers only (p < 0.001). However, there were variations in the application of surgical navigation and methods of analysis, leading to a heterogenous data set. Future studies should focus on standardized protocols and analysis methods to further validate the use of surgical navigation in orthognathic surgery. Despite some limitations, surgical navigation shows potential as a valuable tool in improving the accuracy of orthognathic surgery.</div></div>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":"52 11","pages":"Pages 1274-1287"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0