Postoperative outcomes of two- and three-dimensional planning in orthognathic surgery: A comparative study

Ting Yu Wu, Hsiu Hsia Lin, Lun Jou Lo, Cheng Ting Ho*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

51 Scopus citations

Abstract

Objective Compared with conventional two-dimensional (2D) planning, three-dimensional (3D) planning in orthognathic surgery yields more accurate anatomical information and enables the precise positioning of maxillary and mandibular segments, particularly for patients with facial asymmetry. Accordingly, surgical outcomes achieved using 3D planning should be superior. This study determined the differences between the 2D and 3D planning techniques by comparing their surgical outcomes. Materials and methods In this retrospective study, patients who underwent surgery following the traditional 2D planning technique were classified into the 2D planning group. Patients in whom the 2D plan was transferred to a 3D system after surgical simulation were classified into the 3D planning group. Surgical outcomes were compared using cephalometric measurements and patient perception of the results. Results In the 3D planning group, more favorable results were observed in frontal symmetry, change in the angle between the orbital and occlusal lines, frontal ramus inclination, and the distances from the mandibular central incisor and menton to the midsagittal line. No significant differences were observed in the lateral profiles (SNA, SNB, ANB, and angle convexity) of the two groups. Patient satisfaction was favorable in the two groups, but more patients in the 3D planning group reported being very satisfied. Conclusion The 3D planning technique provided superior overall outcomes. The study findings can be used to augment clinical planning and surgical execution when using a conventional approach.

Original languageEnglish
Pages (from-to)1101-1111
Number of pages11
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume70
Issue number8
DOIs
StatePublished - 08 2017

Bibliographical note

Publisher Copyright:
© 2017 British Association of Plastic, Reconstructive and Aesthetic Surgeons

Keywords

  • 3D planning
  • Orthognathic surgery
  • Postoperative outcomes
  • Surgical simulation

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