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Updated: Jan 25, 2026

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Computer-Assisted Surgery in Facial Bipartition Surgery.

Matthias Schlund1, Arnaud Paré2, Aline Joly2

  • 1Resident, François Rabelais University, Maxillofacial and Facial Plastic Surgery Department, Trousseau Hospital, Tours, France.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
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This study demonstrates the effectiveness of 3-dimensional virtual surgical planning and patient-specific guides in correcting frontonasal dysplasia. Computer-assisted surgery accurately achieved planned facial reconstructions for median cleft syndrome.

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Area of Science:

  • Craniofacial Surgery
  • Medical Imaging
  • Surgical Planning

Background:

  • Frontonasal dysplasia, or median cleft syndrome, is a rare congenital condition.
  • It is frequently linked with transverse maxillary deficiency, necessitating surgical intervention.
  • Facial bipartition is the established surgical treatment for this condition.

Observation:

  • A case report details an 11-year-old boy with frontonasal dysplasia and a midline facial cleft.
  • Preoperative CT scans revealed specific measurements for intercanthal distance and maxillary width.
  • Virtual surgical planning was employed to determine osteotomies and bone movement.

Findings:

  • Virtual surgical planning precisely predicted the outcomes of the planned osteotomies.
  • Patient-specific cutting guides and titanium miniplates were utilized for the surgical procedure.
  • Postoperative CT scans confirmed that the achieved intercanthal distance and maxillary width closely matched the virtual plan.

Implications:

  • Computer-assisted surgery, utilizing 3D virtual planning and custom guides, enhances accuracy in facial bipartition.
  • This approach offers a reliable method for surgical correction of complex craniofacial anomalies like frontonasal dysplasia.
  • The findings support the utility of advanced surgical planning technologies in achieving predictable results in reconstructive surgery.