Customização de placas em cirurgia ortognática minimamente invasiva: um estudo observacional

Abstract

Introduction: Orthognathic surgery is commonly associated with high morbidity, including prolonged surgical time, extensive incisions, and patient discomfort. Recent advances in minimally invasive orthognathic surgery (MIOS), combined with 3D virtual planning and custom-made titanium miniplates, aim to address these challenges by reducing invasiveness and improving surgical precision. Materials and Methods: This observational study evaluated the efficacy and accuracy of customized titanium miniplates in MIOS procedures for patients undergoing Le Fort I osteotomy. By using only two customized plates instead of the traditional four, the surgical procedures aimed to reduce incision size, surgical time, and post-operative recovery. The 3D virtual planning process was employed for precise osteotomies and plate positioning. Results: Findings demonstrated high accuracy in maxillary repositioning using customized plates. Reduced surgical time and incision size correlated with faster patient recovery and decreased morbidity, maintaining stability and functionality comparable to traditional methods. Conclusion: Customized miniplates offer a reliable alternative to conventional methods in MIOS, reducing invasiveness without compromising surgical outcomes. This technique shows promising potential for routine clinical integration, although further studies are recommended to confirm these findings across varied patient groups