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正颌外科中的虚拟手术规划:一家牙科医院的 10 年经验。

Virtual surgical planning in orthognathic surgery: a dental hospital's 10-year experience.

机构信息

Level 5 Clinic, National Dental Centre Singapore, 5 Second Hospital Ave, Singapore, 168938, Singapore.

University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9712, Groningen, CP, Netherlands.

出版信息

Oral Maxillofac Surg. 2024 Jun;28(2):729-738. doi: 10.1007/s10006-023-01194-y. Epub 2023 Nov 24.

Abstract

PURPOSE

The primary objective of this study was to evaluate how the utilization of virtual surgical planning (VSP) and the epidemiological profile of patients undergoing orthognathic surgery (OGS) have changed in the past decade.

METHODS

The records of patients who had undergone orthognathic surgery at a national dental hospital were reviewed. Trends in VSP, epidemiological data, presentation of dentofacial deformity, and management details were recorded.

RESULTS

A total of 1184 patients were included in this study. The majority of the patients seeking treatment in this dental hospital were young Chinese adults with dentofacial deformities requiring bimaxillary surgeries. Most patients presented with a skeletal Class III pattern (79.0%), and asymmetry was diagnosed in 80.8% of all cases.

CONCLUSION

There was an initial slow pick-up rate for VSP, but this rapidly increased to a high adoption rate of 98.7-100% between 2019 and 2021. Together with an increasing body of evidence suggesting greater accuracy in VSP, utilization in this technology can be enhanced with greater familiarity with the technology and improvements in the VSP services.

摘要

目的

本研究的主要目的是评估过去十年中虚拟手术规划(VSP)的应用和正颌手术(OGS)患者的流行病学特征发生了怎样的变化。

方法

回顾了在一家国立牙科医院接受正颌手术的患者的记录。记录了 VSP 的趋势、流行病学数据、牙颌面畸形的表现以及管理细节。

结果

本研究共纳入 1184 例患者。该牙科医院接受治疗的大多数患者为年轻的中国成年人,存在需要双颌手术的牙颌面畸形。大多数患者表现为骨骼 III 类畸形(79.0%),所有病例中有 80.8%被诊断为不对称。

结论

VSP 的初始采用率较低,但在 2019 年至 2021 年间迅速提高到 98.7-100%的高采用率。随着越来越多的证据表明 VSP 更准确,随着对该技术的熟悉程度提高以及 VSP 服务的改进,该技术的应用可以得到加强。

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