Objective: To evaluate the position and orientation of the mandibular proximal segment and the volume of condylar and coronoid processes in class II and III patients submitted to bimaxillary orthognathic surgery, using cone beam computed tomography scans.
Methods: Class II and III patients who underwent bimaxillary orthognathic surgery were evaluated by fusing their preoperative virtual planning and postoperative outcomes. The CBCT scans were import into Dolphin Imaging Software and the images were superimposed. The superimposition of the planned and postoperative CBCT images was performed with the voxel-based method. Results: Differences were found in condylar resorption between class II and III.
Conclusion: The displacement of the mandibular proximal segment after orthognathic surgery was negligible and supported by the condyle and coronoid process, which demonstrated with a clinically non-relevant resorption and postoperative stability.
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http://dx.doi.org/10.1080/08869634.2025.2470476 | DOI Listing |
J Craniofac Surg
March 2025
Hansjorg Wyss Department of Plastic Surgery, NYU Langone Medical Center, New York, NY.
Virtual surgical planning (VSP) has revolutionized orthognathic and craniomaxillofacial surgeries by enabling precise 3-dimensional analysis, detailed osteotomy planning, and custom fabrication of surgical guides and fixation hardware. However, the visualization of registration holes-critical for accurate plate fixation-remains challenging, especially in a blood-filled surgical field. This paper presents a novel technique to enhance the visibility of registration holes using Bonney's blue dye.
View Article and Find Full Text PDFJ Med Case Rep
March 2025
Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Background: Free fibula reconstruction of the mandible has been the gold standard for reconstruction of mandible owing to its rich periosteal and peroneal blood vessel supply. This demands a multidisciplinary approach of maxillofacial and plastic surgeons. Meticulous presurgical planning of harvesting fibula, resection of diseased bone, contouring the fibula to the created defect to restore the anatomy and function, microvascular anastomosis, and postoperative medical care are vital for the survival of the flap.
View Article and Find Full Text PDFAesthetic Plast Surg
March 2025
Adelaide GRADE Centre, School of Public Health, University of Adelaide, Australia, Adelaide, Australia.
Background: The objective of this systematic review and meta-analysis was to assess the effects of tranexamic acid (TXA) on bleeding and thromboembolic events in orthognathic surgery out.
Methods: Three electronic databases (PubMed, Web of Science, and Cochrane Library) were searched until 01/06/2024.
Results: Nine randomised controlled trials and two cohort studies were included for pooled analysis.
J Pharm Bioallied Sci
December 2024
Professor, Department of OMFS, KIMS Dental College, Amalapuram, Andhra Pradesh, India.
Introduction: Bilateral sagittal split osteotomy (BSSO) is the most performed orthognathic surgery for mandibular dentofacial abnormalities. The most common complication is the neurosensory deficit. The current study was aimed at determining the incidence of inferior alveolar nerve neurosensory deficit (NSD) following BSSO surgery, and in assessing intra-operative nerve encounter status and possible relation to NSD.
View Article and Find Full Text PDFFront Oral Health
February 2025
Department of Oral and Maxillofacial Surgery, Justus-Liebig-University Giessen, University Hospital Giessen, Giessen, Germany.
Objectives: Sufficient preoperative planning represents an essential component for the success of orthognathic surgery. Using various analysis methods, dysmorphic areas can be reliably identified and addressed during the planning procedure.
Methods: Brons-Mulié analysis was used to examine profile photographs before and after orthognathic surgery.
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