Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2023-12-18 DOI:10.1186/s40902-023-00409-2
Yong-Chan Lee, Seong-Gon Kim
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Abstract

Orthognathic surgery, essential for addressing jaw and facial skeletal irregularities, has historically relied on traditional surgical planning (TSP) involving a series of time-consuming steps including two-dimensional radiographs. The advent of virtual surgical planning (VSP) and 3D printing technologies has revolutionized this field, bringing unprecedented precision and customization to surgical processes. VSP facilitates 3D visualization of the surgical site, allowing for real-time adjustments and improving preoperative stress for patients by reducing planning time. 3D printing dovetails with VSP, offering the creation of anatomical models and surgical guides, enhancing the predictability of surgical outcomes despite higher initial setup and material costs. The integration of VSP and 3D printing promises innovative and effective solutions in orthognathic surgery, surpassing the limitations of traditional methods. Patient-reported outcomes show a positive post-surgery impact on the quality of life, underlining the significant role of these technologies in enhancing self-esteem and reducing anxiety. Economic analyses depict a promising long-term fiscal advantage with these modern technologies, notwithstanding the higher initial costs. The review emphasizes the need for large-scale randomized controlled trials to address existing research gaps and calls for a deeper exploration into the long-term impacts and ethical considerations of these technologies. In conclusion, while standing on the cusp of a technological renaissance in orthognathic surgery, it is incumbent upon the medical fraternity to foster a collaborative approach, balancing innovation with scrutiny to enhance patient care. The narrative review encourages the leveraging of VSP and 3D printing technologies for more efficient and patient-centric orthognathic surgery, urging the community to navigate uncharted territories in pursuit of precision and efficiency in the surgical landscape.
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通过虚拟手术规划和 3D 打印重新定义正颌外科手术的精度和效率:叙述性综述
正颌外科手术是解决颌骨和面部骨骼不规则问题的关键,历来依赖于传统的手术规划(TSP),包括二维射线照片等一系列耗时的步骤。虚拟手术规划(VSP)和三维打印技术的出现彻底改变了这一领域,为手术过程带来了前所未有的精确性和定制化。VSP 可实现手术部位的三维可视化,允许进行实时调整,并通过减少规划时间来改善患者的术前压力。三维打印与 VSP 相结合,可创建解剖模型和手术指南,尽管初始设置和材料成本较高,但却提高了手术效果的可预测性。VSP 与三维打印技术的结合有望为正颌外科手术提供创新而有效的解决方案,超越传统方法的局限性。患者报告的结果显示,手术后的生活质量受到了积极的影响,凸显了这些技术在增强自尊和减少焦虑方面的重要作用。经济分析表明,这些现代技术尽管初期成本较高,但具有长期的经济优势。综述强调,有必要进行大规模随机对照试验,以弥补现有研究的不足,并呼吁对这些技术的长期影响和伦理因素进行更深入的探讨。总之,正颌外科正处于技术复兴的风口浪尖,医学界有责任促进合作,在创新与审查之间取得平衡,以加强对患者的护理。本综述鼓励利用 VSP 和 3D 打印技术提高正颌外科手术的效率,并以患者为中心,敦促医学界在未知领域中不断探索,追求手术的精确性和效率。
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来源期刊
Maxillofacial Plastic and Reconstructive Surgery
Maxillofacial Plastic and Reconstructive Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.30
自引率
13.00%
发文量
37
审稿时长
13 weeks
期刊最新文献
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