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Minimally invasive orthognathic surgery: a systematic review
1Division of Maxillofacial Surgery, Department of Surgery, General Hospital St-Jan Bruges, Bruges, Belgium; Department of Maxillofacial Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Summary
Minimally invasive orthognathic surgery, utilizing tools like endoscopes and piezoelectric devices, shows promise for reduced patient morbidity and faster recovery. Further research is needed to confirm these benefits with higher evidence levels.
Area of Science:
- Oral and Maxillofacial Surgery
- Minimally Invasive Surgical Techniques
Background:
- Minimally invasive techniques are increasingly adopted in oral and maxillofacial surgery.
- Orthognathic surgery, a complex procedure, can potentially benefit from these approaches.
Purpose of the Study:
- To systematically review and provide an overview of published data on minimally invasive procedures in orthognathic surgery.
- To identify key technologies and approaches used in minimally invasive orthognathic surgery.
Main Methods:
- A systematic literature search was conducted across PubMed, Embase, and Cochrane Library databases up to December 31, 2016.
- Articles were screened for eligibility, and relevant papers were evaluated and categorized.
- Included categories were minimally invasive surgical approach, endoscopically assisted procedures, and piezoelectric device utilization.
Main Results:
- Out of 403 identified articles, 44 were included for detailed evaluation.
- Most articles (90.9%) highlighted the importance of endoscopes and piezoelectric instruments for minimally invasive orthognathic surgery.
- Studies suggest reduced patient morbidity and accelerated recovery with these techniques.
Conclusions:
- Minimally invasive orthognathic surgery, particularly with endoscopic and piezoelectric tools, appears to offer advantages in patient outcomes.
- Higher levels of evidence are required to substantiate the benefits of minimally invasive orthognathic surgery.
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