Maxillofac Plast Reconstr Surg.  2023;45(1):42. 10.1186/s40902-023-00409-2.

Redefining precision and efficiency in orthognathic surgery through virtual surgical planning and 3D printing: a narrative review

• KMID: 2552496
• DOI: http://doi.org/10.1186/s40902-023-00409-2

Abstract

Orthognathic surgery, essential for addressing jaw and facial skeletal irregularities, has historically relied on tradi‑ tional surgical planning (TSP) involving a series of time-consuming steps including two-dimensional radiographs. The advent of virtual surgical planning (VSP) and 3D printing technologies has revolutionized this field, bringing unprecedented precision and customization to surgical processes. VSP facilitates 3D visualization of the surgical site, allowing for real-time adjustments and improving preoperative stress for patients by reducing planning time. 3D printing dovetails with VSP, offering the creation of anatomical models and surgical guides, enhancing the predict‑ ability of surgical outcomes despite higher initial setup and material costs. The integration of VSP and 3D printing promises innovative and effective solutions in orthognathic surgery, surpassing the limitations of traditional methods. Patient-reported outcomes show a positive post-surgery impact on the quality of life, underlining the significant role of these technologies in enhancing self-esteem and reducing anxiety. Economic analyses depict a promising longterm fiscal advantage with these modern technologies, notwithstanding the higher initial costs. The review empha‑ sizes the need for large-scale randomized controlled trials to address existing research gaps and calls for a deeper exploration into the long-term impacts and ethical considerations of these technologies. In conclusion, while stand‑ ing on the cusp of a technological renaissance in orthognathic surgery, it is incumbent upon the medical fraternity to foster a collaborative approach, balancing innovation with scrutiny to enhance patient care. The narrative review encourages the leveraging of VSP and 3D printing technologies for more efficient and patient-centric orthognathic surgery, urging the community to navigate uncharted territories in pursuit of precision and efficiency in the surgical landscape.

Keyword

Virtual surgical planning (VSP); 3D printing, Orthognathic surgery; Computer-aided design (CAD); Computer-aided manufacturing (CAM)