Friedrich Constanze, Graw Constantin, Kröplin Juliane
Department of Oral and Maxillofacial Surgery, University Medical Centre Rostock, Rostock, Germany.
Innov Surg Sci. 2024 Sep 6;9(4):175-179. doi: 10.1515/iss-2024-0018. eCollection 2024 Dec.
Anomalies of jaw position and shape affect approximately 10 % of the population. They can have a significant impact on quality of life, which is why the continuous improvement of therapeutic approaches is a key concern in oral and maxillofacial surgery. The aim of this narrative review article is to examine the development of orthognathic surgery in the context of traditional and innovative methods.
A Pubmed-based selective literature search was performed considering literature predominantly from 2022 to 2023. Search terms were "orthognathic surgery" in combination with "virtual surgical planning" and "3D printing".
Depending on the extent of the existing anomalies, there are purely orthodontic or combined orthodontic-surgical treatment approaches. Technological innovations in particular are changing both the therapeutic approach and the planning of surgical treatment to an almost completely digital workflow. This change can lead to greater precision in treatment and more efficient planning, resulting in reduced costs and an overall improvement in clinical outcomes, including patient satisfaction.
This study presents an overview of the field of orthognathic surgery and discusses developments and challenges for the future. With traditional approaches being time-consuming and prone to error digital technologies like VSP, AI and PSIs improve accuracy and efficiency, though challenges persist.
颌骨位置和形态异常影响着约10%的人群。它们会对生活质量产生重大影响，这就是为什么不断改进治疗方法是口腔颌面外科的关键关注点。这篇叙述性综述文章的目的是在传统和创新方法的背景下审视正颌外科的发展。
基于PubMed进行了选择性文献检索，主要考虑2022年至2023年的文献。检索词为“正颌外科”与“虚拟手术规划”和“3D打印”的组合。
根据现有异常的程度，存在单纯正畸或正畸 - 外科联合治疗方法。特别是技术创新正在将治疗方法和手术治疗规划转变为几乎完全数字化的工作流程。这种转变可以带来更高的治疗精度和更高效的规划，从而降低成本并全面改善临床结果，包括患者满意度。
本研究概述了正颌外科领域，并讨论了未来的发展和挑战。传统方法既耗时又容易出错，像虚拟手术规划、人工智能和个性化手术导板等数字技术提高了准确性和效率，不过挑战依然存在。
