title: Algorithm for planning a double-jaw orthognathic surgery using a computer-aided surgical simulation (CASS) protocol. Part 1: planning sequence.
abstract: The success of craniomaxillofacial (CMF) surgery depends not only on the surgical techniques, but also on an accurate surgical plan. The adoption of computer-aided surgical simulation (CASS) has created a paradigm shift in surgical planning. However, planning an orthognathic operation using CASS differs fundamentally from planning using traditional methods. With this in mind, the Surgical Planning Laboratory of Houston Methodist Research Institute has developed a CASS protocol designed specifically for orthognathic surgery. The purpose of this article is to present an algorithm using virtual tools for planning a double-jaw orthognathic operation. This paper will serve as an operation manual for surgeons wanting to incorporate CASS into their clinical practice.
authors.affiliation: Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, Houston Methodist Research Institute, Houston, TX, USA; Oral and Maxillofacial Surgery, Institute for Academic Medicine, Houston Methodist Hospital, Houston, TX, USA; Oral and Maxillofacial Surgery, Weill Medical College, Cornell University, New York, USA. Electronic address: JXia@HoustonMethodist.org.
authors.forename: J J
authors.initials: JJ
authors.lastname: Xia
authors.affiliation: Oral and Maxillofacial Surgery, Institute for Academic Medicine, Houston Methodist Hospital, Houston, TX, USA; Oral and Maxillofacial Surgery, Weill Medical College, Cornell University, New York, USA; Department of Oral and Maxillofacial Surgery, Houston Methodist Hospital, Houston, TX, USA.
authors.forename: J
authors.initials: J
authors.lastname: Gateno
authors.affiliation: Division of Pediatric Plastic Surgery, Department of Pediatric Surgery, The University of Texas Health Science Center at Houston, Texas, USA.
authors.forename: J F
authors.initials: JF
authors.lastname: Teichgraeber
authors.affiliation: Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, Houston Methodist Research Institute, Houston, TX, USA.
authors.forename: P
authors.initials: P
authors.lastname: Yuan
authors.affiliation: Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, Houston Methodist Research Institute, Houston, TX, USA; Department of Oral and Maxillofacial Surgery, National Cheng-Kung University Medical College and Hospital, Tainan, Taiwan.
authors.forename: K-C
authors.initials: KC
authors.lastname: Chen
authors.affiliation: Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, Houston Methodist Research Institute, Houston, TX, USA.
authors.forename: J
authors.initials: J
authors.lastname: Li
authors.affiliation: Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, Houston Methodist Research Institute, Houston, TX, USA.
authors.forename: X
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, Houston Methodist Research Institute, Houston, TX, USA; Department of Oral and Maxillofacial Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Tang
authors.affiliation: Oral and Maxillofacial Surgery, Institute for Academic Medicine, Houston Methodist Hospital, Houston, TX, USA; Oral and Maxillofacial Surgery, Weill Medical College, Cornell University, New York, USA; Department of Oral and Maxillofacial Surgery, Houston Methodist Hospital, Houston, TX, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Alfi
mesh_terms: D000465:Algorithms; D059925:Anatomic Landmarks; D002508:Cephalometry; D003198:Computer Simulation; D003761:Dental Impression Technique; D006801:Humans; D019767:Maxillofacial Abnormalities / Q000601:surgery*; D008953:Models, Anatomic; D056948:Orthognathic Surgical Procedures; D010347:Patient Care Planning; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed
keywords: CASS; computer-aided surgical simulation; dentofacial deformity; double-jaw orthognathic surgery; planning algorithm