title: Computer-Assisted Virtual Planning for Surgical Guide Manufacturing and Internal Distractor Adaptation in the Management of Midface Hypoplasia in Cleft Patients.
abstract: We are reporting the treatment of severe maxillary hypoplasia in two patients with unilateral cleft lip and palate by using a specific approach combining the Le Fort I distraction osteogenesis technique coupled with computer-aided design/computer-aided manufacturing customized surgical guides and internal distractors based on virtual computational planning. This technology allows for the transfer of the virtual planned reconstruction to the operating room by using custom patient-specific implants, surgical splints, surgical cutting guides, and surgical guides to plate or distractor adaptation.
authors.forename: Paolo
authors.initials: P
authors.lastname: Scolozzi
authors.forename: Georges
authors.initials: G
authors.lastname: Herzog
mesh_terms: D000293:Adolescent; D064728:Alveolar Bone Grafting; D002508:Cephalometry; D002971:Cleft Lip / Q000601:surgery*; D002972:Cleft Palate / Q000601:surgery*; D017076:Computer-Aided Design; D006801:Humans; D008297:Male; D008437:Maxilla / Q000002:abnormalities* / Q000601:surgery*; D008953:Models, Anatomic; D019857:Osteogenesis, Distraction / Q000379:methods*; D019340:Osteotomy, Le Fort / Q000379:methods*; D010155:Palatal Expansion Technique; D010347:Patient Care Planning; D011474:Prosthesis Design
keywords: cleft palate and lip, computer-aided design/computer-aided manufacturing technology (CAD/CAM) implants; computer-assisted surgery, distraction osteogenesis, maxillary hypoplasia, virtual surgical planning