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Related Experiment Videos

Profiloplasty: variations in personal views

H P Freihofer1, R E Mooren

  • 1Department of Oral and Maxillofacial Surgery, University Hospital Nijmegen, The Netherlands.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|November 22, 1997
PubMed
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Surgeons show significant variability in orthognathic surgery planning, leading to inconsistent treatment outcomes. This highlights a need for standardized approaches in surgical education and practice to ensure optimal patient results.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Orthodontics
  • Surgical Planning

Background:

  • Treatment planning in orthognathic surgery can be controversial due to differing opinions on skeletal movement for optimal results.
  • Variability in surgical planning may impact patient outcomes and educational consistency.

Purpose of the Study:

  • To investigate the degree of variability among experienced surgeons in planning orthognathic surgery.
  • To identify potential discrepancies in surgical approach and their implications for teaching centers.

Main Methods:

  • Seven experienced surgeons were presented with ten unbalanced facial profile drawings.
  • Surgeons were asked to draw their desired final profile line for each case, allowing artistic or construction line methods (excluding a specific established technique).

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Main Results:

  • Significant variability was observed in the surgical profile planning among the participating surgeons.
  • Some surgeons showed similar approaches in proportions and inclinations, while others demonstrated considerable variation without a clear underlying concept.
  • High inter-surgeon variability was noted for nearly all presented profiles.

Conclusions:

  • The substantial discrepancies in surgical planning among experienced surgeons indicate a lack of consensus.
  • Such variability is unacceptable in a teaching environment and necessitates the development of more standardized treatment planning protocols for orthognathic surgery.