Fully Digitalized Workflow for One-Stage Mandibular Contouring and Orthognathic Surgery to Correct Severe Facial Asymmetry.

INTRODUCTION

Surgical correction of facial asymmetry is commonly performed in at least two stages. Recently, because of the long duration of a two-step procedure, the demand for a one-step procedure has increased. Our study aims to present a fully digitalized workflow for one-stage mandibular contouring (MC) and bimaxillary surgery to correct severe facial asymmetry using 3D technology.

MATERIALS AND METHODS

A retrospective monocentric study was conducted for all patients affected by severe facial asymmetry who had undergone MC and orthognathic surgery between January 2018 and June 2020 at the Face Surgery Center, in Parma, Italy.

RESULTS

The final study sample included 20 patients (12 women and 8 men). The mean age of the patients at the time of surgery was 20.8 years (range: 18-25 years). At the one-year follow-up, all patients had stable occlusion with a symmetric face. Mandibular angle degree (Ar-Go-Me) increased significantly from 113. 6° to 122.7° at the left side and from 113.3° to 122.7° at the right side (p <  0.05) (Table 1). The mandibular width (Go-Go) decreased from 116.5 to 106.4 mm (p < 0.05).

CONCLUSION

A fully digitalized workflow for one-stage MC and bimaxillary surgery is a safe and valid option to correct facial asymmetry. CAD CAM technology is an indispensable tool to obtain predictable results.

LEVEL OF EVIDENCE IV

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