Olmedo CSR, Díaz MER, Llangari CJD, Vaca ZME, Miranda SÁE

Language: Spanish
References: 8
Page: 176-181
PDF size: 4043.00 Kb.

ABSTRACT

Introduction: cleft lip and palate is one of the congenital defects that often leaves major sequelae such as severe maxillary hypoplasia where only conventional orthognathic surgery is not the best treatment option. Distraction osteogenesis is an alternative with the implementation of the RED Device with the application of artificial intelligence (AI) in the design of guides, optimizing time and improving the preservation of anatomical structures. Objectives: to emphasize the importance of AI-assisted virtual planning in the design of a drilling guide. Clinical case: a 16-year-old patient with sequelae of cleft lip and palate is presented. The patient underwent distraction osteogenesis with virtual planning and the application of AI. In addition, a systematic review of the literature was conducted. Results: it was evident that the application of AI in the virtual planning of maxillary distraction osteogenesis with the use of the RED Device allowed a gradual advancement of the maxilla and controlled positioning of the pins. Conclusions: AI-assisted distraction osteogenesis improves surgical precision, optimizes outcomes, and minimizes complications, offering an effective and stable alternative for the treatment of severe maxillary hypoplasia in patients with cleft lip and palate.

REFERENCES

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2. Shand JM, Heggie AA. Maxillary horseshoe osteotomy. In: Naini FB, Gill DS, editors. Orthognathic surgery: principles, planning and practice. Chichester, UK: John Wiley & Sons; 2017. p. 806.

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4. Leiva-Villagra N, Ayala-Jiménez F, Stange-Dempster C, Fuentes-Flores V. Distracción osteogénica maxilar con distractor rígido externo en pacientes con fisura labio-palatina. Revisión bibliográfica. Odontol Sanmarquina. 2019; 22 (3): 197-204.

5. Shand JM, Heggie AA. Maxillary horseshoe osteotomy. In: Naini FB, Gill DS, editors. Orthognathic surgery: principles, planning and practice. Chichester, UK: John Wiley & Sons; 2017. pp. 806-807.

6. Rubio-Palau J, Ayats-Soler M, Albert-Cazalla A, Martìnez-Padilla I, Prieto-Gundin A, Prieto-Peronnet N et al. Accuracy of virtually planned maxillary distraction in cleft patients: An evaluative study. Ann Maxillofac Surg. 2021; 11 (1): 49-57. doi: 10.4103/ams.ams_331_20.

7. KLS Martin. RED II System: Rigid External Distraction. KLS Martin; [s.f.]. Available in: https://www.medkoh.ch/fileadmin/user_upload/dev/1%20Chirurgische%20Disziplinen/4%20Mund-%2C%20Kiefer-%20und%20Gesichtschirurgie/Distraktoren/RED_II_Distraktor.pdf

8. Leiva-Villagra N, Ayala-Jiménez F, Stange-Dempster C, Fuentes-Flores V. Distracción osteogénica maxilar con distractor rígido externo en pacientes con fisura labio-palatina. Revisión bibliográfica. Odontol Sanmarquina. 2019; 22 (3): 197-204.