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Vertical Maxillary Measurements using a Virtual External Reference Point in Orthognathic Surgery: Technical
1Department of Oral and Maxillofacial Surgery, Hospital Sótero del Río, Santiago, Chile.
The Journal of Craniofacial Surgery
|October 10, 2017
Summary
Surgeons often err in orthognathic surgery vertical jaw positioning due to triangulation effects. This study introduces virtual customization of external reference points (ERPs) in planning software to correct these measurement errors for improved accuracy.
Area of Science:
- Oral and Maxillofacial Surgery
- Medical Imaging and Simulation
- Orthognathic Surgery
Background:
- Accurate vertical positioning of the upper jaw is critical in orthognathic surgery.
- Current methods using external reference points (ERPs) are prone to errors.
- Triangulation effects from maxillary movements can skew distance measurements.
Purpose of the Study:
- To address inaccuracies in calculating vertical jaw position during orthognathic surgery.
- To propose a method for correcting errors caused by triangulation effects.
- To enhance the precision of surgical planning through computer-assisted simulation.
Main Methods:
- Implementing virtual customization of ERPs within computer-assisted surgical simulation software.
- Replicating the surgical reference system in a virtual environment.
- Measuring baseline and target vertical distances within the virtual planning software.
Main Results:
- The proposed virtual customization method corrects for triangulation effects.
- This technique simplifies the calculation of goal distances for ERPs.
- Accurate pre-operative measurements can be achieved by accounting for maxillary movements.
Conclusions:
- Virtual customization of ERPs offers an easy and effective solution to measurement errors in orthognathic surgery.
- This method improves the reliability of vertical jaw position planning.
- Computer-assisted surgical simulation enhances surgical accuracy and patient outcomes.

