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Current Trends in Orthognathic Surgery.
Domenick Zammit1, Russell E Ettinger2,3, Paymon Sanati-Mehrizy4
1Department of Pediatric Surgery, Division of Plastic Surgery, McGill University Health Center, Montreal Children's Hospital, Montreal, QC H3Z 1X3, Canada.
Medicina (Kaunas, Lithuania)
|December 23, 2023
Summary
Orthognathic surgery, involving jaw and midface osteotomies, has advanced with computer planning and patient-specific fixation. Contemporary practices now include managing airway obstruction and evolving orthodontic-surgical approaches.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
- Biomedical Engineering
Background:
- Orthognathic surgery corrects functional and aesthetic issues using midface and mandibular osteotomies.
- Significant advancements have occurred over the last century, particularly in the past two decades.
Purpose of the Study:
- To review and highlight contemporary practices in orthognathic surgery.
- To discuss recent innovations and shifts in the field.
Main Methods:
- Review of literature on orthognathic surgery advancements.
- Analysis of current trends in computer-assisted planning and fixation techniques.
Main Results:
- Increased fidelity in computer-assisted planning for osteotomies.
- Adoption of patient-specific fixation devices.
- Expanding indications for managing upper airway obstruction.
- Evolving orthodontic-surgical paradigms.
Conclusions:
- Orthognathic surgery continues to evolve with technological and conceptual advancements.
- Current practices integrate sophisticated planning, tailored fixation, and broader clinical applications.
