Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 2 , Pages 248-254 , February 2007

Accuracy of the Computer-Aided Surgical Simulation (CASS) System in the Treatment of Patients With Complex Craniomaxillofacial Deformity: A Pilot Study

  • James J. Xia, MD, PhD

      Affiliations

    • Director, Surgical Planning Laboratory, Department of Oral and Maxillofacial Surgery, The Methodist Hospital Research Institute, Houston, TX.
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Xia: Department of Oral and Maxillofacial Surgery, The Methodist Hospital Research Institute, 6560 Fannin Street, Suite 1228, Houston, TX 77096
    • ,
  • Jaime Gateno, DDS, MD

      Affiliations

    • Chairman, Department of Oral and Maxillofacial Surgery, The Methodist Hospital Research Institute, Houston, TX.
    • ,
  • John F. Teichgraeber, MD

      Affiliations

    • Professor, Division of Pediatric Plastic Surgery, Department of Surgery, University of Texas Houston Health Science Center, Houston, TX.
    • ,
  • Andrew M. Christensen, BS

      Affiliations

    • President and Chief Technical Officer, Medical Modeling LLC, Golden, CO
    • ,
  • Robert E. Lasky, PhD

      Affiliations

    • Professor, Departments of Pediatrics and Obstetrics and Gynecology, University of Texas Houston Health Science Center, Houston, TX.
    • ,
  • Jeremy J. Lemoine, BS

      Affiliations

    • Doctoral Student, Department of Bioengineering, Rice University, Houston, TX.
    • ,
  • Michael A.K. Liebschner, PhD

      Affiliations

    • Assistant Professor, Department of Bioengineering, Rice University, Houston, TX.

References 

  1. Xia JJ, Gateno J, Teichgraeber JF. Three-dimensional computer-aided surgical simulation for maxillofacial surgery. Atlas Oral Maxillofac Surg Clin North Am. 2005;13:25
  2. Xia J, Samman N, Yeung RW, et al. Three-dimensional virtual reality surgical planning and simulation workbench for orthognathic surgery. Int J Adult Orthodon Orthognath Surg. 2000;15:265
  3. Troulis MJ, Everett P, Seldin EB, et al. Development of a three-dimensional treatment planning system based on computed tomographic data. Int J Oral Maxillofac Surg. 2002;31:349
  4. Gateno J, Xia J, Teichgraeber JF, et al. A new technique for the creation of a computerized composite skull model. J Oral Maxillofac Surg. 2003;61:222
  5. Santler G. 3-D COSMOS: A new 3-D model based computerized operation simulation and navigation system. J Maxillofac Surg. 2000;28:287
  6. Gateno J, Teichgraeber JF, Xia J. Method and apparatus for fabricating orthognathic surgical splints (US Patent 6,671,539), in USPTO Patent Full-Text and Image Database. Alexandria, Virginia: US Patent and Trademark Office; 2003;December 30
  7. Santler G. The Graz hemisphere splint: A new, precise, non-invasive method of replacing the dental arch of 3D-models by plaster models. J Craniomaxillofac Surg. 1998;26:169
  8. Gateno J, Xia JJ, Teichgraeber JF, et al. Clinical feasibility for computer-aided surgical simulation (CASS) in the treatment of complex cranio-maxillofacial deformities. J Oral Maxillofac Surg. 2007;(In press)
  9. Gateno J, Xia J, Teichgraeber JF, et al. The precision of computer-generated surgical splints. J Oral Maxillofac Surg. 2003;61:814
  10. Donatsky O, Bjorn-Jorgensen J, Holmqvist-Larsen M, et al. Computerized cephalometric evaluation of orthognathic surgical precision and stability in relation to maxillary superior repositioning combined with mandibular advancement or setback. J Oral Maxillofac Surg. 1997;55:1071
  11. Ong TK, Banks RJ, Hildreth AJ. Surgical accuracy in Le Fort I maxillary osteotomies. Br J Oral Maxillofac Surg. 2001;39:96
  12. Tng TT, Chan TC, Hagg U, et al. Validity of cephalometric landmarks: An experimental study on human skulls. Eur J Orthod. 1994;16:110
  13. Jacobson R, Sarver DM. The predictability of maxillary repositioning in Le Fort I orthognathic surgery. Am J Orthod Dentofacial Orthop. 2002;122:142
  14. Padwa BL, Kaiser MO, Kaban LB. Occlusal cant in the frontal plane as a reflection of facial asymmetry. J Oral Maxillofac Surg. 1997;55:811
  15. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307
  16. Gliddon MJ, Xia JJ, Gateno J, et al. The accuracy of cephalometric tracing superimposition. J Oral Maxillofac Surg. 2006;64:194

 This work was partially supported by NIH/NIDCR grant 1 R41 DE016171-01, UT–Houston Comprehensive Research Training Program 5 T32 DE015355-01 (NIH), and UT–Houston Medical School UCRC grant M01 RR002558 (NIH).

PII: S0278-2391(06)01884-2

doi: 10.1016/j.joms.2006.10.005

Journal of Oral and Maxillofacial Surgery
Volume 65, Issue 2 , Pages 248-254 , February 2007

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