Custom Plates in Orthognathic Surgery: A Single Surgeon's Experience and Learning Curve. (Record no. 716)

MARC details
000 -LEADER
fixed length control field 03221nam a22003737a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220316s20222022 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 1049-2275
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 00001665-900000000-91808 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1097/SCS.0000000000008574 [doi]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 35184108
245 ## - TITLE STATEMENT
Title Custom Plates in Orthognathic Surgery: A Single Surgeon's Experience and Learning Curve.
251 ## - Source
Source Journal of Craniofacial Surgery. 2022 Feb 18
252 ## - Abbreviated Source
Abbreviated source J Craniofac Surg. 2022 Feb 18
253 ## - Journal Name
Journal name The Journal of craniofacial surgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2022
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2022 Feb 18
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2022-03-17
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 2001 - present, Available in print through MWHC library:1999-2007
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Virtual surgical planning (VSP) now allows for the fabrication of custom plates in orthognathic surgery. The senior author was an early adopter, using VSP and stereolithographic splints for over a decade, before transitioning to custom plates in 2019. The authors present our experience and learning curve with this new technology and compare results to a prior cohort of orthognathic patients.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: Patient-specific cutting guides and custom plates allow for precise spatial positioning of the osteotomized jaw in the orthognathic surgery. Unsurprisingly, obstacles must be overcome in adopting this new technology; here, we outline our experience and technical modifications that have resulted in increased surgical efficiency with comparable outcomes. Copyright © 2022 by Mutaz B. Habal, MD.
520 ## - SUMMARY, ETC.
Abstract METHODS: A retrospective chart review identified patients undergoing orthognathic surgery with the senior author between 2016 and 2021. All underwent VSP and stereolithographic splint formation, and then either traditional or custom-plate fixation. Demographics, perioperative variables, and postoperative outcomes were analyzed. Traditional fixation consisted of craniomaxillofacial plates, bent intraoperatively by the surgeon to adapt to the facial skeleton. Custom plates were prefabricated and prebent to fit drill holes outlined by customized cutting guides.
520 ## - SUMMARY, ETC.
Abstract RESULTS: Forty-three patients underwent surgery in the study period, 25 (58.1%) with traditional fixation hardware and 18 (41.9%) with custom plates. The surgical technique evolved throughout the custom-plate cohort, with the most recent technique involving custom maxillary plate fixation and traditional mandibular plate fixation. When comparing this group of patients to the prior cohort of traditional fixation patients, operative time significantly decreased (mean 233 minutes versus 283 minutes, P = 0.044), without significant difference in complications.
546 ## - LANGUAGE NOTE
Language note English
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Plastic Surgery Residency M
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Fleury, Christopher
790 ## - Authors
All authors Baker SB, Fleury CM, Sayyed AA
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1097/SCS.0000000000008574">https://dx.doi.org/10.1097/SCS.0000000000008574</a>
Public note https://dx.doi.org/10.1097/SCS.0000000000008574
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 03/17/2022   35184108 35184108 03/17/2022 03/17/2022 Journal Article

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