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Orthognathic Surgery: Recent Developments and Emerging Trends
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Orthognathic Surgery: Recent Developments and Emerging Trends

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dentistry, Oral Surgery and Oral Medicine".

Deadline for manuscript submissions: 28 June 2024 | Viewed by 1512

Special Issue Editors

Dr. Charles Savoldelli

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, Head and Neck Institute, University Hospital of Nice, 30 Avenue Valombrose, 06100 Nice, France
Interests: orthognathic surgery; trauma; craniofacial anomalies; facial aesthetic surgery; dental implants
Dr. Matthias Schlund

E-Mail Website
Guest Editor
Department of Oral and Maxillofacial Surgery, University Hospital of Bordeaux, Pl. Amélie Raba Léon, 33000 Bordeaux, France
Interests: orthognathic surgery; facial aesthetic surgery; dental implants; orbito-palpebral surgery

Special Issue Information

Dear Colleagues,

Orthognathic surgery has evolved profoundly over the last 20 years. A pivotal moment has been the integration of digital surgical planning and the growing public awareness of new surgical possibilities, which has subsequently influenced the demand for orthognathic procedures. Moreover, interdisciplinary approaches combining orthodontics and orthognathic surgery have broadened the scope of interventions, proving especially beneficial in treating patients with orofacial clefts and craniofacial anomalies.

This Special Issue delves into the current advancements and forthcoming challenges in orthognathic surgery, with a keen emphasis on surgical diagnostics, treatment planning and post-operative outcomes. Perspectives from both the patient and the professional are integral to our exploration. We also welcome contributions on translational research in the domain of orthognathic surgery and its intersections with craniofacial orthodontics, aiming to spotlight innovations poised to reshape the future of surgical interventions and address potential challenges in the coming decade.

New trends will involve many fields of orthognathic surgery:

  • Digital integration and virtual surgical planning (VSP);
  • 3D printing;
  • Treatment of obstructive sleep apnea (OSA);
  • Minimally invasive techniques;
  • Predictive outcome modeling;
  • Early intervention;
  • Surgery-first;
  • Custom implants.

On behalf of the Journal of Clinical Medicine, you are cordially invited to contribute an article to the Special Issue. Research articles and comprehensive reviews are welcome to submit. Case reports and short/mini reviews will not be considered.

Dr. Charles Savoldelli
Dr. Matthias Schlund
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • orthognathic surgery
  • virtual surgical planning (VSP)
  • three-dimensional-printed surgical guides
  • minimally invasive techniques
  • patient-specific implants
  • surgery-first approach

Published Papers (2 papers)

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Research

18 pages, 20640 KiB  
Article
Complications of Surgically Assisted Rapid Maxillary/Palatal Expansion (SARME/SARPE)—A Retrospective Analysis of 185 Cases Treated at a Single Center
by Rafał Nowak, Szymon Przywitowski, Paweł Golusiński, Anna Olejnik and Ewa Zawiślak
J. Clin. Med. 2024, 13(7), 2053; https://doi.org/10.3390/jcm13072053 - 2 Apr 2024
Viewed by 681
Abstract
Objectives: The study aims to assess and classify complications in patients treated for maxillary transverse deficiency using surgically assisted rapid maxillary/palatal expansion (SARME/SARPE) under general anesthesia. The classification of the complications aimed to assess the difficulty of their treatment as well as estimate [...] Read more.
Objectives: The study aims to assess and classify complications in patients treated for maxillary transverse deficiency using surgically assisted rapid maxillary/palatal expansion (SARME/SARPE) under general anesthesia. The classification of the complications aimed to assess the difficulty of their treatment as well as estimate its real cost. Methods: The retrospective study covered 185 patients who underwent surgery for a skeletal deformity in the form of maxillary constriction or in which maxillary constriction was one of its components treated by a team of maxillofacial surgeons at one center (97 females and 88 males, aged 15 to 47 years, mean age 26.1 years). Complications were divided into two groups: early complications (up to 3 weeks after surgery) and late complications (>3 weeks after surgery). In relation to the occurrence of complications, we analyzed the demographic characteristics of the group, type of skeletal deformity (class I, II, III), presence of open bite and asymmetry, surgical technique, type and size of appliance used for maxillary expansion, as well as the duration of surgery. Results: In the study group, complications were found in 18 patients (9.73%). Early complications were found in nine patients, while late complications were also found in nine patients. Early complications include no possibility of distraction, palatal mucosa necrosis, perforation of the maxillary alveolar process caused by the distractor and asymmetric distraction. Late complications include maxillary incisor root resorption, no bone formation in the distraction gap, and maxillary incisor necrosis. None of the patients required prolonged hospitalization and only one required reoperation. Conclusions: Complications were found in 18 patients (9.73%). All challenges were classified as minor difficulties since they did not suppress the final outcome of the treatment of skeletal malocclusion. However, the complications that did occur required additional corrective measures. Surgically assisted rapid maxillary expansion, when performed properly and in correlation with the correct orthodontic treatment protocol, is an effective and predictable technique for treating maxillary constriction. Full article
(This article belongs to the Special Issue Orthognathic Surgery: Recent Developments and Emerging Trends)
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12 pages, 2681 KiB  
Article
Comparison of Patient-Specific Condylar Positioning Devices and Manual Methods in Orthognathic Surgery: A Prospective Randomized Trial
by Anton Straub, Sebastian Gubik, Alexander Kübler, Niko Breitenbuecher, Andreas Vollmer, Tobias Renner, Urs Müller-Richter, Stefan Hartmann and Roman Brands
J. Clin. Med. 2024, 13(3), 737; https://doi.org/10.3390/jcm13030737 - 27 Jan 2024
Viewed by 599
Abstract
Background: This study investigated whether patient-specific condylar positioning devices (CPDs) are beneficial compared to the conventional manual positioning of the condyles. Methods: In this prospective, randomized trial, patients undergoing orthognathic surgery with a bilateral sagittal split osteotomy of the mandible were included. The [...] Read more.
Background: This study investigated whether patient-specific condylar positioning devices (CPDs) are beneficial compared to the conventional manual positioning of the condyles. Methods: In this prospective, randomized trial, patients undergoing orthognathic surgery with a bilateral sagittal split osteotomy of the mandible were included. The ascending ramus was positioned with computer-aided designed and computer-aided manufactured (CAD/CAM) patient-specific devices in the CPD group and manually in the control group. Postoperatively, cone-beam computed tomography (CBCT) was performed to align the virtually planned position with the postoperative result. Results: Thirty patients were enrolled in the study, with 14 randomized to the CPD group and 16 to the control group. In the CPD group, the ascending ramus differed in the postoperative CBCT scan from the virtually planned position by 0.8 mm in the left/right, 0.8 mm in the front/back, and 1.3 mm in the cranial/caudal direction. The corresponding control-group values were 1.1 mm, 1.3 mm, and 1.6 mm. CPD and controls differed significantly for the left/right movement of the rami (p = 0.04) but not for the other directions or rotations (p > 0.05). Conclusions: The results demonstrate that both methods are accurate, and postoperative results matched the virtually planned position precisely. It can be assumed that the described CPDs are beneficial when a condylar position different from the preoperative is desired. Full article
(This article belongs to the Special Issue Orthognathic Surgery: Recent Developments and Emerging Trends)
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