Learning condyle repositioning during orthognathic surgery with a surgical navigation system

Publication date: Available online 10 February 2019

Source: International Journal of Oral and Maxillofacial Surgery

Author(s): R. Lartizien, I. Zaccaria, C. Savoldelli, L. Noyelles, E. Chamorey, J.L. Cracowski, G. Bettega

Abstract

Condyle repositioning during bilateral sagittal splint osteotomy (BSSO) is a challenging step for the inexperienced surgeon. We aimed to demonstrate the benefit of navigation for learning the condyle repositioning. We treated 100 patients who underwent a BSSO. A trainee performed the condyle repositioning of one side in two phases. In the first one, the trainee positioned without watching the screen of the Orthopilot Navigation system (ONS). In the second one, the trainee could use the ONS to replace the condyle. Heuristic, anatomical and functional scores of each phase were recorded. Heuristic (17% vs. 75%; p < 0.0001), anatomical (35% vs. 86%; p < 0.0001) and functional (14% vs. 56%; p < 0.0001) scores were significantly greater with the ONS. The ONS is a promising and original intraoperative learning tool for the repositioning of the condyle during BSSO.

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