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Patient-Specific Orthognathic Solutions: Expert Opinion on Guidelines and Workflow.
Alf L Nastri1, Isaac Liau1, Jaewon Heo1
1Department of Oral & Maxillofacial Surgery, Royal Melbourne Hospital, 300 Grattan St., Parkville, VIC 3050, Australia.
Craniomaxillofacial Trauma & Reconstruction
|April 24, 2025
Summary
This paper provides guidelines for using 3D virtual surgical planning in orthognathic surgery. It covers data acquisition, diagnosis, workflow, and operative steps for improved patient outcomes.
Area of Science:
- Oral and Maxillofacial Surgery
- Medical Imaging
- Computer-Aided Surgery
Background:
- Orthognathic surgery corrects jaw and facial irregularities.
- Traditional planning methods can be time-consuming and may have limitations.
- Advancements in technology enable more precise surgical interventions.
Purpose of the Study:
- To establish guidelines for three-dimensional virtual surgical planning (3D VSP) in orthognathic surgery.
- To detail the workflow from data acquisition to operative considerations.
- To enhance the precision and predictability of orthognathic procedures.
Main Methods:
- Review and synthesis of current practices in 3D VSP for orthognathic surgery.
- Focus on data acquisition (e.g., CBCT, facial scans).
- Emphasis on clinical diagnosis, data workflow sequencing, and operative planning.
Main Results:
- A structured approach to 3D VSP is presented.
- Key considerations for data integration and workflow are outlined.
- Guidelines facilitate standardized application of virtual planning.
Conclusions:
- 3D virtual surgical planning is a valuable tool for orthognathic surgery.
- Adherence to established guidelines ensures efficient and effective planning.
- This approach supports improved surgical accuracy and patient results.

