Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery

Background: Genioplasty as an isolated surgical technique is a highly demanded procedure in the maxillofacial surgery area. Advances in facial reconstructive surgery have been associated with less morbidity and more predictable results. In this paper, “conventional” genioplasty and genioplasty by me...

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Autores: Antúnez Conde Hidalgo, Raúl, Silva Canal, José Luis, Navarro Cuéllar, Carlos, Sánchez Gallego Albertos, Celia, Arias Gallo, Javier, Navarro Cuéllar, Ignacio, López Davis, Antonio, Demaria Martínez, Gastón, Naranjo Aspas, Néstor, Zamorano León, José Javier, Chamorro Pons, Manuel
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/103480
Acceso en línea:https://hdl.handle.net/20.500.14352/103480
Access Level:acceso abierto
Palabra clave:617
Genioplasty
Chin deformity
Virtual surgical planning
CAD-CAM technology
Stereolithographic models
Patient-specific plates
Head and neck reconstruction
Aesthetic surgery
Cirugía
3213 Cirugía
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oai_identifier_str oai:docta.ucm.es:20.500.14352/103480
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spelling Guided Genioplasty: Comparison between Conventional Technique and Customized Guided SurgeryAntúnez Conde Hidalgo, RaúlSilva Canal, José LuisNavarro Cuéllar, CarlosSánchez Gallego Albertos, CeliaArias Gallo, JavierNavarro Cuéllar, IgnacioLópez Davis, AntonioDemaria Martínez, GastónNaranjo Aspas, NéstorZamorano León, José JavierChamorro Pons, Manuel617GenioplastyChin deformityVirtual surgical planningCAD-CAM technologyStereolithographic modelsPatient-specific platesHead and neck reconstructionAesthetic surgeryCirugía3213 CirugíaBackground: Genioplasty as an isolated surgical technique is a highly demanded procedure in the maxillofacial surgery area. Advances in facial reconstructive surgery have been associated with less morbidity and more predictable results. In this paper, “conventional” genioplasty and genioplasty by means of virtual surgical planning (VSP), CAD-CAM cutting guides, and patient custom-made plates are compared. Methods: A descriptive observational study was designed and implemented, and 43 patients were treated, differentiating two groups according to the technique: 18 patients were treated by conventional surgery, and 25 patients were treated through virtual surgical planning (VSP), CAD-CAM cutting guides, STL models, and titanium patient-specific plates. Results: The operation time ranged from 35 to 107 min. The mean operative time in the conventional group was 60.06 + 3.74 min.; in the custom treatment group it was 42.24 + 1.29 min (p < 0.001). The difference between planned and obtained chin changes in cases of advancement or retrusion was not statistically significant (p = 0.125; p = 0.216). In cases of chin rotation due to asymmetry, guided and personalized surgery was superior to conventional surgery (p < 0.01). The mean hospital stay was equal in both groups. A decrease in surgical complications was observed in the group undergoing VSP and customized treatment. Conclusions: Multi-stage implementation of VSP with CAD-CAM cutting guides, STL models, and patient-specific plates increased the accuracy of the genioplasty surgery, particularly in cases of chin asymmetry, reducing operation time and potential complications.MDPIUniversidad Complutense de Madrid20232023-12-1220232023-12-12journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/103480reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1034802026-06-02T12:44:21Z
dc.title.none.fl_str_mv Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
title Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
spellingShingle Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
Antúnez Conde Hidalgo, Raúl
617
Genioplasty
Chin deformity
Virtual surgical planning
CAD-CAM technology
Stereolithographic models
Patient-specific plates
Head and neck reconstruction
Aesthetic surgery
Cirugía
3213 Cirugía
title_short Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
title_full Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
title_fullStr Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
title_full_unstemmed Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
title_sort Guided Genioplasty: Comparison between Conventional Technique and Customized Guided Surgery
dc.creator.none.fl_str_mv Antúnez Conde Hidalgo, Raúl
Silva Canal, José Luis
Navarro Cuéllar, Carlos
Sánchez Gallego Albertos, Celia
Arias Gallo, Javier
Navarro Cuéllar, Ignacio
López Davis, Antonio
Demaria Martínez, Gastón
Naranjo Aspas, Néstor
Zamorano León, José Javier
Chamorro Pons, Manuel
author Antúnez Conde Hidalgo, Raúl
author_facet Antúnez Conde Hidalgo, Raúl
Silva Canal, José Luis
Navarro Cuéllar, Carlos
Sánchez Gallego Albertos, Celia
Arias Gallo, Javier
Navarro Cuéllar, Ignacio
López Davis, Antonio
Demaria Martínez, Gastón
Naranjo Aspas, Néstor
Zamorano León, José Javier
Chamorro Pons, Manuel
author_role author
author2 Silva Canal, José Luis
Navarro Cuéllar, Carlos
Sánchez Gallego Albertos, Celia
Arias Gallo, Javier
Navarro Cuéllar, Ignacio
López Davis, Antonio
Demaria Martínez, Gastón
Naranjo Aspas, Néstor
Zamorano León, José Javier
Chamorro Pons, Manuel
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 617
Genioplasty
Chin deformity
Virtual surgical planning
CAD-CAM technology
Stereolithographic models
Patient-specific plates
Head and neck reconstruction
Aesthetic surgery
Cirugía
3213 Cirugía
topic 617
Genioplasty
Chin deformity
Virtual surgical planning
CAD-CAM technology
Stereolithographic models
Patient-specific plates
Head and neck reconstruction
Aesthetic surgery
Cirugía
3213 Cirugía
description Background: Genioplasty as an isolated surgical technique is a highly demanded procedure in the maxillofacial surgery area. Advances in facial reconstructive surgery have been associated with less morbidity and more predictable results. In this paper, “conventional” genioplasty and genioplasty by means of virtual surgical planning (VSP), CAD-CAM cutting guides, and patient custom-made plates are compared. Methods: A descriptive observational study was designed and implemented, and 43 patients were treated, differentiating two groups according to the technique: 18 patients were treated by conventional surgery, and 25 patients were treated through virtual surgical planning (VSP), CAD-CAM cutting guides, STL models, and titanium patient-specific plates. Results: The operation time ranged from 35 to 107 min. The mean operative time in the conventional group was 60.06 + 3.74 min.; in the custom treatment group it was 42.24 + 1.29 min (p < 0.001). The difference between planned and obtained chin changes in cases of advancement or retrusion was not statistically significant (p = 0.125; p = 0.216). In cases of chin rotation due to asymmetry, guided and personalized surgery was superior to conventional surgery (p < 0.01). The mean hospital stay was equal in both groups. A decrease in surgical complications was observed in the group undergoing VSP and customized treatment. Conclusions: Multi-stage implementation of VSP with CAD-CAM cutting guides, STL models, and patient-specific plates increased the accuracy of the genioplasty surgery, particularly in cases of chin asymmetry, reducing operation time and potential complications.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-12-12
2023
2023-12-12
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/103480
url https://hdl.handle.net/20.500.14352/103480
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.301629

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