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Accuracy of virtually planned maxillary distraction in cleft patients - An evaluative study
Introduction: Maxillary distraction may be used to treat severe maxillary hypoplasia in cleft lip and palate (CLP) patients. Three-dimensional (3D) planning has been shown to increase the accuracy of distraction and reduce operative time and complications. The aim of the study was to measure the acc...
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Published in: | Annals of maxillofacial surgery 2021-01, Vol.11 (1), p.49-57 |
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creator | Rubio-Palau, Josep Ayats-Soler, Marta Albert-Cazalla, Asteria Martìnez-Padilla, Irene Prieto-Gundin, Alejandra Prieto-Peronnet, Natalia Ramìrez-Fernandez, Marìa Mareque-Bueno, Javier |
description | Introduction: Maxillary distraction may be used to treat severe maxillary hypoplasia in cleft lip and palate (CLP) patients. Three-dimensional (3D) planning has been shown to increase the accuracy of distraction and reduce operative time and complications. The aim of the study was to measure the accuracy of internal maxillary distraction after 3D planning in CLP patients, to add evidence to validate the virtual osteotomy and distraction procedure. Materials and Methods: Eleven CLP patients with severe maxillary hypoplasia underwent maxillary distraction using internal distractors. Virtual planning was used to design the osteotomies, the distractor position, and the distraction vector. Cutting and positioning guides transferred this information to the surgical procedure. Four to six month postoperative computed tomography-scan was done before distractor removal; anatomical reference points were compared to the virtual planning to determine accuracy. Results: A high accuracy (point dislocation |
doi_str_mv | 10.4103/ams.ams_331_20 |
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Three-dimensional (3D) planning has been shown to increase the accuracy of distraction and reduce operative time and complications. The aim of the study was to measure the accuracy of internal maxillary distraction after 3D planning in CLP patients, to add evidence to validate the virtual osteotomy and distraction procedure. Materials and Methods: Eleven CLP patients with severe maxillary hypoplasia underwent maxillary distraction using internal distractors. Virtual planning was used to design the osteotomies, the distractor position, and the distraction vector. Cutting and positioning guides transferred this information to the surgical procedure. Four to six month postoperative computed tomography-scan was done before distractor removal; anatomical reference points were compared to the virtual planning to determine accuracy. Results: A high accuracy (point dislocation <1.5 mm) was found in 90% of the points of the surface of the maxilla; the majority of the zygomatic screws were placed within a distance of 0.8-1 mm from their planned position. Discussion: The high accuracy achieved through virtual planning promotes optimal distractor placement; a customized distraction vector has a direct effect on the final position of the maxilla.</description><identifier>ISSN: 2231-0746</identifier><identifier>EISSN: 2249-3816</identifier><identifier>DOI: 10.4103/ams.ams_331_20</identifier><identifier>PMID: 34522654</identifier><language>eng</language><publisher>India: Wolters Kluwer India Pvt. Ltd</publisher><subject>Original - Evaluative Studies</subject><ispartof>Annals of maxillofacial surgery, 2021-01, Vol.11 (1), p.49-57</ispartof><rights>Copyright: © 2021 Annals of Maxillofacial Surgery.</rights><rights>Copyright: © 2021 Annals of Maxillofacial Surgery 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c316y-7c4d491ae1413009d2f6f4b7abbf717a14162b1654e1d3e3bf401518c00d6ffc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407633/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407633/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34522654$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rubio-Palau, Josep</creatorcontrib><creatorcontrib>Ayats-Soler, Marta</creatorcontrib><creatorcontrib>Albert-Cazalla, Asteria</creatorcontrib><creatorcontrib>Martìnez-Padilla, Irene</creatorcontrib><creatorcontrib>Prieto-Gundin, Alejandra</creatorcontrib><creatorcontrib>Prieto-Peronnet, Natalia</creatorcontrib><creatorcontrib>Ramìrez-Fernandez, Marìa</creatorcontrib><creatorcontrib>Mareque-Bueno, Javier</creatorcontrib><title>Accuracy of virtually planned maxillary distraction in cleft patients - An evaluative study</title><title>Annals of maxillofacial surgery</title><addtitle>Ann Maxillofac Surg</addtitle><description>Introduction: Maxillary distraction may be used to treat severe maxillary hypoplasia in cleft lip and palate (CLP) patients. Three-dimensional (3D) planning has been shown to increase the accuracy of distraction and reduce operative time and complications. The aim of the study was to measure the accuracy of internal maxillary distraction after 3D planning in CLP patients, to add evidence to validate the virtual osteotomy and distraction procedure. Materials and Methods: Eleven CLP patients with severe maxillary hypoplasia underwent maxillary distraction using internal distractors. Virtual planning was used to design the osteotomies, the distractor position, and the distraction vector. Cutting and positioning guides transferred this information to the surgical procedure. Four to six month postoperative computed tomography-scan was done before distractor removal; anatomical reference points were compared to the virtual planning to determine accuracy. Results: A high accuracy (point dislocation <1.5 mm) was found in 90% of the points of the surface of the maxilla; the majority of the zygomatic screws were placed within a distance of 0.8-1 mm from their planned position. Discussion: The high accuracy achieved through virtual planning promotes optimal distractor placement; a customized distraction vector has a direct effect on the final position of the maxilla.</description><subject>Original - Evaluative Studies</subject><issn>2231-0746</issn><issn>2249-3816</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kUtPxCAUhYnRqFG3Lg1LNx15tZ1uNBPjKzFxoysXhFJQlMIIdMb-e5mMz4UkBHLvdw-HHAAOMZowjOiJ6OMkb04p5gRtgF1CWFPQKa42V3eKC1SzagccxPiC8sqNKSXbYIeykpCqZLvgcSblEIQcoddwYUIahLUjnFvhnOpgL96NtSKMsDMxZS4Z76BxUFqlE5yLZJRLERZw5qBaCDvkykLBmIZu3AdbWtioDj7PPfBweXF_fl3c3l3dnM9uC0lxNRa1ZB1rsFCYYYpQ0xFdadbWom11jWuRyxVpcbarcEcVbTVDuMRTiVBXaS3pHjhd686HtledzI6CsHweTJ-dcy8M_9tx5pk_-QWfMlRXlGaB40-B4N8GFRPvTZQqf9wpP0ROypo0lKGSZHSyRmXwMQalv5_BiK9C4atAfkLJA0e_zX3jXxFk4GwNLL1NKsRXOyxV4Jl9dX75jyxnDf9Kjn4A-X-h3w</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Rubio-Palau, Josep</creator><creator>Ayats-Soler, Marta</creator><creator>Albert-Cazalla, Asteria</creator><creator>Martìnez-Padilla, Irene</creator><creator>Prieto-Gundin, Alejandra</creator><creator>Prieto-Peronnet, Natalia</creator><creator>Ramìrez-Fernandez, Marìa</creator><creator>Mareque-Bueno, Javier</creator><general>Wolters Kluwer India Pvt. 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Three-dimensional (3D) planning has been shown to increase the accuracy of distraction and reduce operative time and complications. The aim of the study was to measure the accuracy of internal maxillary distraction after 3D planning in CLP patients, to add evidence to validate the virtual osteotomy and distraction procedure. Materials and Methods: Eleven CLP patients with severe maxillary hypoplasia underwent maxillary distraction using internal distractors. Virtual planning was used to design the osteotomies, the distractor position, and the distraction vector. Cutting and positioning guides transferred this information to the surgical procedure. Four to six month postoperative computed tomography-scan was done before distractor removal; anatomical reference points were compared to the virtual planning to determine accuracy. Results: A high accuracy (point dislocation <1.5 mm) was found in 90% of the points of the surface of the maxilla; the majority of the zygomatic screws were placed within a distance of 0.8-1 mm from their planned position. Discussion: The high accuracy achieved through virtual planning promotes optimal distractor placement; a customized distraction vector has a direct effect on the final position of the maxilla.</abstract><cop>India</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><pmid>34522654</pmid><doi>10.4103/ams.ams_331_20</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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title | Accuracy of virtually planned maxillary distraction in cleft patients - An evaluative study |
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