Picco DMI, Zuniga GJN, Rendon SJA, Rodriguez SC, Guzmán BHA, Sánchez SA

Language: Spanish
References: 20
Page: 147-151
PDF size: 1542.13 Kb.

ABSTRACT

Introduction: currently, computer-aided planning of orthognathic surgery helps us obtain better results, avoiding errors that could occur with conventional orthognathic surgery planning. With virtual planning of orthognathic surgery, we obtain surgical guides that help us stabilize the maxillary segments during surgery to avoid recurrences. Currently, the use of cutting guides and customized plates in Le Fort I osteotomy eliminates the need for occlusal surgical guides, minimizing surgical time, making the surgery more agile, and improving results. Clinical case: a 20-year-old female patient was diagnosed with maxillary vertical excess and anterior open bite. Surgery was performed using virtual surgery to plan a 4 mm Le Fort I impaction osteotomy, using custom-made titanium plates and cutting guides during the procedure. Results: the advantages of using this management protocol in orthognathic surgery are: reducing pre- and intraoperative work time, minimizing errors in surgical movements, developing simpler and more precise surgical procedures, avoiding injuries to the anatomical structures involved, transferring the results of the virtual simulation in the manufacture of cutting templates to the operating room, obtaining highly satisfactory results, carrying out and establishing an optimization protocol and finally obtaining a database of surgical patients. Conclusions: it is a versatile technique, with a minimum degree of difficulty and easy to perform.

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