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A novel method for the management of proximal segment using computer assisted simulation surgery: correct condyle head positioning and better proximal segment placement

Maxillofacial Plastic and Reconstructive Surgery 2015³â 37±Ç 1È£ p.26 ~ 26
ÀÌ¿ëÂù, Sohn Hong-Bum, ±è¼º±Ù, Bae On-Yu, ÀÌÀåÇÏ,
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ÀÌ¿ëÂù ( Lee Yong-Chan ) - Bestian Seoul Hospital Department of Oral and Maxillofacial Surgery
 ( Sohn Hong-Bum ) - Eton Dental Hospital Department of Orthodontics
±è¼º±Ù ( Kim Sung-Keun ) - Bestian Seoul Hospital Department of Oral and Maxillofacial Surgery
 ( Bae On-Yu ) - Bestian Seoul Hospital Department of Oral and Maxillofacial Surgery
ÀÌÀåÇÏ ( Lee Jang-Ha ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Computer Assisted Simulation Surgery (CASS) is a reliable method that permits oral and maxillofacial surgeons to visualize the position of the maxilla and the mandible as observed in the patient. The purpose of this report was to introduce a newly developed strategy for proximal segment management according to Balanced Orthognathic Surgery (BOS) protocol which is a type of CASS, and to establish the clinical feasibility of the BOS protocol in the treatment of complex maxillo-facial deformities. The BOS protocol consists of the following 4 phases: 1) Planning and simulation phase, 2) Modeling phase, 3) Surgical phase, and 4) Evaluation phase. The surgical interventions in 80 consecutive patients were planned and executed by the BOS protocol. The BOS protocol ensures accuracy during surgery, thereby facilitating the completion of procedures without any complications. The BOS protocol may be a complete solution that enables an orthognatic surgeon to perform accurate surgery based on a surgical plan, making real outcomes as close to pre-planned outcomes as possible.

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