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On the feasibility of minimally invasive Le Fort I with patient-specific implants: Proof of concept.
Hernández-Alfaro, Federico; Saavedra, Oscar; Duran-Vallès, Francesc; Valls-Ontañón, Adaia.
Afiliación
  • Hernández-Alfaro F; Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Barcelona, Spain; Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
  • Saavedra O; Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
  • Duran-Vallès F; Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain.
  • Valls-Ontañón A; Department of Oral and Maxillofacial Surgery, Universitat Internacional de Catalunya (UIC), Barcelona, Spain; Institute of Maxillofacial Surgery, Teknon Medical Center, Barcelona, Spain. Electronic address: avalls@institutomaxilofacial.com.
J Stomatol Oral Maxillofac Surg ; 125(3S): 101844, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38556164
ABSTRACT
A novel approach to Le Fort I osteotomy is presented, integrating patient-specific implants (PSIs), osteosynthesis and cutting guides within a minimally invasive surgical framework, and the accuracy of the procedure is assessed through 3D voxel-based superimposition. The technique was applied in 5 cases. Differences between the surgical plan and final outcome were evaluated as follows a 2-mm color scale was established to assess the anterior surfaces of the maxilla, mandible and chin, as well as the condylar surfaces. Measurements were made at 8 specific landmarks, and all of them showed a mean difference of less than 1 mm. In conclusion, the described protocol allows for minimally invasive Le Fort I osteotomy using PSIs. Besides, although the accuracy of the results may be limited by the small sample size, the findings are consistent with those reported in the literature. A prospective comparative study is needed to obtain statistically significant results and draw meaningful conclusions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Procedimientos Quirúrgicos Mínimamente Invasivos / Osteotomía Le Fort Límite: Adult / Female / Humans / Male Idioma: En Revista: J Stomatol Oral Maxillofac Surg Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Francia

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Estudios de Factibilidad / Procedimientos Quirúrgicos Mínimamente Invasivos / Osteotomía Le Fort Límite: Adult / Female / Humans / Male Idioma: En Revista: J Stomatol Oral Maxillofac Surg Año: 2024 Tipo del documento: Article País de afiliación: España Pais de publicación: Francia