@article{TuckerJOMS2010, abstract = {PURPOSE: The advent of imaging software programs has proved to be useful for diagnosis, treatment planning, and outcome measurement, but precision of 3-dimensional (3D) surgical simulation still needs to be tested. This study was conducted to determine whether the virtual surgery performed on 3D models constructed from cone-beam computed tomography (CBCT) can correctly simulate the actual surgical outcome and to validate the ability of this emerging technology to recreate the orthognathic surgery hard tissue movements in 3 translational and 3 rotational planes of space. MATERIALS AND METHODS: Construction of pre- and postsurgery 3D models from CBCTs of 14 patients who had combined maxillary advancement and mandibular setback surgery and 6 patients who had 1-piece maxillary advancement surgery was performed. The postsurgery and virtually simulated surgery 3D models were registered at the cranial base to quantify differences between simulated and actual surgery models. Hotelling t tests were used to assess the differences between simulated and actual surgical outcomes. RESULTS: For all anatomic regions of interest, there was no statistically significant difference between the simulated and the actual surgical models. The right lateral ramus was the only region that showed a statistically significant, but small difference when comparing 2- and 1-jaw surgeries. CONCLUSIONS: Virtual surgical methods were reliably reproduced. Oral surgery residents could benefit from virtual surgical training. Computer simulation has the potential to increase predictability in the operating room.}, address = {Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC, USA.}, author = {Tucker S. and Cevidanes L. and Styner M. and Kim H. and Reyes M. and Proffit W. and Turvey T.}, copyright = {Copyright (c) 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.}, crdt = {2010/07/02 06:00}, da = {20100924}, date = {2010 Oct}, date-added = {2010-10-18 17:12:15 +0200}, date-modified = {2010-10-18 17:13:46 +0200}, dcom = {20101012}, dep = {20100629}, doi = {10.1016/j.joms.2009.09.058}, edat = {2010/07/02 06:00}, gr = {DE005215/DE/NIDCR NIH HHS/United States; DE017727/DE/NIDCR NIH HHS/United States; DE018962/DE/NIDCR NIH HHS/United States}, issn = {1531-5053 (Electronic); 0278-2391 (Linking)}, jid = {8206428}, journal = {J Oral Maxillofac Surg}, jt = {Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons}, language = {eng}, mh = {Adolescent; Adult; *Computer Simulation; Cone-Beam Computed Tomography; Female; Humans; *Imaging, Three-Dimensional; Jaw/radiography/*surgery; Male; Models, Anatomic; *Orthognathic Surgical Procedures; Reproducibility of Results; Statistics, Nonparametric; *Subtraction Technique; User-Computer Interface; Young Adult}, mhda = {2010/10/13 06:00}, mid = {NIHMS148450}, month = {Oct}, number = {10}, oid = {NLM: NIHMS148450 {$[$}Available on 10/01/11{$]$}; NLM: PMC2945446 {$[$}Available on 10/01/11{$]$}}, own = {NLM}, pages = {2412--2421}, phst = {2009/07/14 {$[$}received{$]$}; 2009/09/14 {$[$}accepted{$]$}; 2010/06/29 {$[$}aheadofprint{$]$}}, pii = {S0278-2391(09)01762-5}, pl = {United States}, pmc = {PMC2945446}, pmcr = {2011/10/01}, pmid = {20591553}, pst = {ppublish}, pt = {Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Validation Studies}, sb = {AIM; D; IM}, status = {MEDLINE}, title = {Comparison of actual surgical outcomes and 3-dimensional surgical simulations.}, volume = {68}, year = {2010}, Bdsk-File-1 = {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}, Bdsk-Url-1 = {http://dx.doi.org/10.1016/j.joms.2009.09.058}}