Planning the Surgery-First Approach in Surgical-Orthodontic Treatment with a Computer Aided Surgical Simulation (Cass) Planning Protocol

以3D影像電腦輔助正顎手術矯正模擬技術來計劃手術優先之正顎手術矯正治療

許勝評(Sam Sheng-Pin Hsu) ； Dhruv Singhal ； James J, Xia ； Jaime Gateno ； 林政輝(Cheng-Hui Lin) ； 黃炯興(Chiung-Shing Huang) ； 羅綸州(Lun-Jou Lo) ； 柯雯青(Ellen Wen-Ching Ko) ； 陳昱瑞(Yu-Ray Chen)

《中華民國齒顎矯正學雜誌》 24卷2期 (2012/06) Pp. 24-37

https://doi.org/10.30036/TJO.201206.0003

摘要

手術優先之正顎手術矯正治療由於其臨床上的諸多好處，國際上越來越多知名的醫學中心開始將其應用於臨床的治療上，然而目前所發表的文獻當中並沒有清楚地提出一套理想的步驟與方法來制訂全方位的、包括矯正以及手術的治療計劃。本文提出兩套以3D影像電腦手術模擬的技術來訂定手術優先之手術矯正治療計劃的步驟與方法，藉由電腦立體影像所呈現精確地、可看見的模擬過程與治療目標，提供一個矯正醫師與手術醫師之間最理想的溝通平台，讓即使是這方面經驗不多的臨床醫師也可以容易的入門來訂定手術優先之手術矯正治療計劃。

關鍵字

手術優先 ； 3D影像電腦手術模擬 ； 正顎手術 ； 手術矯正

並列摘要

The surgery-first approach in surgical orthodontic treatment is re-emerging as the preferred technique when compared to the traditional orthodontic first-approach. Despite its growing popularity, no planning protocol that offers comprehensive and accurate predictions has been described for the surgery-first approach. In this article, the authors utilize computer aided surgical simulation (CASS) to provide two planning methods for the surgery-first approach. The benefits of using CASS for planning include enhanced 3-dimensional visualization of treatment progression, the ability for surgeons and orthodontists to discuss and visualize in detail any potential treatment algorithm, and providing a more precise prediction for the surgeon, orthodontist, and patient in surgery first cases.

並列關鍵字

Surgery-first ； Computer-aided surgical simulation ； Orthognathic surgery ； Surgical orthodontic treatment