title: An integrated orthognathic surgery system for virtual planning and image-guided transfer without intermediate splint.
abstract: Accurate surgical planning and transfer of the planning in orthognathic surgery are very important in achieving a successful surgical outcome with appropriate improvement. Conventionally, the paper surgery is performed based on a 2D cephalometric radiograph, and the results are expressed using cast models and an articulator. We developed an integrated orthognathic surgery system with 3D virtual planning and image-guided transfer. The maxillary surgery of orthognathic patients was planned virtually, and the planning results were transferred to the cast model by image guidance. During virtual planning, the displacement of the reference points was confirmed by the displacement from conventional paper surgery at each procedure. The results of virtual surgery were transferred to the physical cast models directly through image guidance. The root mean square (RMS) difference between virtual surgery and conventional model surgery was 0.75 ± 0.51 mm for 12 patients. The RMS difference between virtual surgery and image-guidance results was 0.78 ± 0.52 mm, which showed no significant difference from the difference of conventional model surgery. The image-guided orthognathic surgery system integrated with virtual planning will replace physical model surgical planning and enable transfer of the virtual planning directly without the need for an intermediate splint.
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
authors.forename: Dae-Seung
authors.initials: DS
authors.lastname: Kim
authors.affiliation: Department of Biomedical Radiation Sciences, Graduate School of Convergence Science and Technology, Seoul National University, South Korea.
authors.forename: Sang-Yoon
authors.initials: SY
authors.lastname: Woo
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
authors.forename: Hoon Joo
authors.initials: HJ
authors.lastname: Yang
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
authors.forename: Kyung-Hoe
authors.initials: KH
authors.lastname: Huh
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
authors.forename: Sam-Sun
authors.initials: SS
authors.lastname: Lee
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
authors.forename: Min-Suk
authors.initials: MS
authors.lastname: Heo
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
authors.forename: Soon-Chul
authors.initials: SC
authors.lastname: Choi
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea. Electronic address: sjhwang@snu.ac.kr.
authors.forename: Soon Jung
authors.initials: SJ
authors.lastname: Hwang
authors.affiliation: Department of Oral and Maxillofacial Radiology, BK21, and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea. Electronic address: wjyi@snu.ac.kr.
authors.forename: Won-Jin
authors.initials: WJ
authors.lastname: Yi
mesh_terms: D000328:Adult; D000465:Algorithms; D059925:Anatomic Landmarks / Q000033:anatomy & histology; D003196:Computer Graphics; D003198:Computer Simulation; D003725:Dental Articulators; D005260:Female; D057918:Fiducial Markers; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D007574:Jaw Relation Record / Q000295:instrumentation; D008297:Male; D008437:Maxilla / Q000601:surgery; D008953:Models, Anatomic; D061330:Multidetector Computed Tomography / Q000379:methods; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D010347:Patient Care Planning; D012399:Rotation; D013165:Splints; D025321:Surgery, Computer-Assisted / Q000379:methods*; D014584:User-Computer Interface; D055815:Young Adult
keywords: Image-guided transfer; Integrated surgery system; Orthognathic surgery; Virtual surgical planning