Virtual Surgical Planning for Mandibular Distraction in Infants with Robin Sequence

Resnick, Cory M.

doi:10.1097/gox.0000000000001379

Cited by 9 publications

(15 citation statements)

References 8 publications

(5 reference statements)

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“…The majority of patients with molar injury require dental rehabilitation including specialized orthodontic care, composite restoration or the use of a crown in more severe cases 52. From a preventative perspective, virtual surgical planning (VSP) has been assessed in patients with RS undergoing MDO 65. Preoperative cutting guides with pre-determined location for screws based on the distance from the buccal cortex to the developing tooth bud can likely reduce the risk of tooth bud injury as compared to traditional methods 65,66.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Complications of Mandibular Distraction Osteogenesis for Airway Obstruction in the Robin Sequence Population: A Comprehensive Literature Review

Chocron

Barone

Zammit

et al. 2022

Journal of Craniofacial Surgery

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Introduction: Mandibular distraction osteogenesis (MDO) is becoming the procedure of choice for patients with Robin Sequence (RS) as it offers superior long-term respiratory outcomes in avoidance of tracheostomy. Lacking, is an analysis of the short- and long-term complications. To that end, we have conducted a comprehensive review focusing on complications of MDO. Materials and Methods: A systematic review of primary clinical studies reporting outcomes and complications of MDO in RS patients. Outcomes included tracheostomy avoidance and decannulation rate. Complications included dental trauma, nerve injury, surgical site infection and hardware failure. Complications were stratified according to distractor type (internal versus external) and age (>2 months versus <2months). Results: A total of 49 studies yielded 1209 patients with a mean follow-up of 43.78 months. The tracheostomy avoidance rate was 94% (n = 817/870) and the mortality rate was 0.99% (n = 12/1209). The complication rate was 28.9% (n = 349/1209) with surgical site infections (10.5%) being most common. Dental and nerve injuries occurred in 7.9% and 3.2% of patients, respectively. Hardware replacement occurred in 1.2% of patients. internal distractors had higher rates of dental injury whereas external distractors had higher technical failure rates. There were no differences in complication rates (P = 0.200), mortality (P = 0.94) or tracheostomy avoidance (P = 0.058) between patients >2months or <2months of age. Conclusion: Mandibular distraction osteogenesis is highly reliable and effective with a low mortality and high tracheostomy avoidance rate. There are important complications including nerve and dental injuries which require long-term follow-up. Neonatal patients do not appear to be at higher risk of complications reinforcing the safety of MDO in this population.

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Section: Discussionmentioning

confidence: 99%

Efficacy and Complications of Mandibular Distraction Osteogenesis for Airway Obstruction in the Robin Sequence Population: A Comprehensive Literature Review

Chocron

Barone

Zammit

et al. 2022

Journal of Craniofacial Surgery

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“…Precise cutting guides are then created to accurately transfer the design onto the neonatal mandible at the time of surgery. VSP can identify the location and depth of teeth and tooth buds to determine the depth of screws and ideal screw placement to reduce the risk of tooth bud injury as compared to traditional methods [1 ▪▪ ,11,18 ▪▪ ] (see Fig. 1).…”

Section: Avoidance Of Dental Complicationsmentioning

confidence: 99%

Dental outcomes after neonatal mandibular distraction

Morris¹

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review The aim of this study was to understand dental complications associated with neonatal mandibular distraction and subsequent dental outcomes. Recent findings Dental injury is often associated with neonatal mandibular distraction osteogenesis. Newer technology offers safer techniques to minimize this risk. Long-term follow up and dental outcomes in permanent dentition are needed to better understand the actual risk associated with the procedure. Summary Surgeons performing neonatal mandibular distraction osteogenesis need to understand the associated risks to deciduous and permanent dentition as well as techniques to mitigate this risk.

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“…23 For the other procedures studied, virtual surgical planning adds upfront costs but may confer overall cost savings in terms of reduced operating room time compared to cases planned using traditional methods. 13,16,19,47,[50][51][52][53][54] Each procedure in this study requires different considerations during the planning process. For implant cranioplasty, the defect is assessed (or craniotomy planned, if needed) and an implant is designed to fill the area.…”

Section: Plastic and Reconstructive Surgery • April 2021mentioning

confidence: 99%

Conformity of the Virtual Surgical Plan to the Actual Result Comparing Five Craniofacial Procedure Types

Maniskas¹,

Pourtaheri²,

Chandler³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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irtual surgical planning and three-dimensional analysis are powerful tools in craniofacial surgery. Initial analysis provides a unique three-dimensional view of the anatomy, to help understand the preoperative dysmorphology. Virtual surgical planning also involves a digital "run-through" of the skeletal movements, allowing surgeons to spend time optimizing the treatment strategy preoperatively. The exact manner in which virtual surgical planning is used depends on the procedure type and goals of surgery. [1][2][3] Computer-aided design and manufacturing (CAD/CAM) technology may be used with virtual surgical planning to fabricate cutting and positioning guides, splints, custom implants, and precontoured plates, thereby allowing the digital plan to directly guide intraoperative execution. 4,5 These stereolithographic constructs can be temporary

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Virtual Surgical Planning for Mandibular Distraction in Infants with Robin Sequence

Cited by 9 publications

References 8 publications

Efficacy and Complications of Mandibular Distraction Osteogenesis for Airway Obstruction in the Robin Sequence Population: A Comprehensive Literature Review

Efficacy and Complications of Mandibular Distraction Osteogenesis for Airway Obstruction in the Robin Sequence Population: A Comprehensive Literature Review

Dental outcomes after neonatal mandibular distraction

Conformity of the Virtual Surgical Plan to the Actual Result Comparing Five Craniofacial Procedure Types

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