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Treatment of Facial Deformities using 3D Planning and Printing of Patient-Specific Implants
Published on: May 23, 2020
Cleft related facial skeletal surgery: an update
Karandeep Singh Randhawa1, Alexander Graf, Sherard Tatum
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, SUNY Upstate Medical University, Syracuse, New York, USA.
Advancements in cleft-related facial skeletal surgery include AI for prediction and 3D virtual surgical planning for improved outcomes. Addressing socioeconomic disparities is crucial for equitable access to care and enhanced quality of life.
Area of Science:
- Cleft lip and palate surgery
- Facial skeletal reconstruction
- Orthognathic surgery
Background:
- Cleft-related facial skeletal surgery involves complex procedures to correct deformities.
- Evolving paradigms focus on improving functional and aesthetic outcomes.
- Recent literature highlights advancements in surgical techniques and technology.
Purpose of the Study:
- To provide a comprehensive update on advancements in cleft-related facial skeletal surgery.
- To evaluate recent literature on AI, VSP, PSIs, and alveolar bone grafting.
- To assess strategies for managing VPI, airway patency, and PROMs.
Main Methods:
- Review of recent literature on cleft-related facial skeletal surgery.
- Evaluation of artificial intelligence in surgical prediction.
- Assessment of virtual surgical planning and patient-specific implants.
- Analysis of alveolar bone grafting techniques and outcomes.
Main Results:
- Machine learning models predict orthognathic surgery need with >83% accuracy.
- 3D VSP improves occlusal accuracy and reduces planning time.
- PSIs reduce relapse in maxillary advancements but increase hardware removal risk.
- Safe maxillary advancement thresholds minimize VPI risk.
- Synthetic/allografts show comparable success to autografts in ABG.
- Orthognathic surgery improves psychosocial well-being and aesthetics, but access disparities persist.
Conclusions:
- Cleft surgery is advancing with AI, 3D planning, and biomaterials for better predictions and stability.
- Balancing structural changes with speech and airway preservation is critical.
- Addressing socioeconomic barriers is essential for equitable care and improved quality of life.
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