Mandible-first sequence approach in bimaxillary orthognathic surgery using 3D printed surgical templates for facial asymmetry

Abstract

Bimaxillary orthognathic surgery has been widely performed to achieve optimal functional and aesthetic outcomes in patients with maxillofacial deformity. Although Le Fort I osteotomy is generally performs before bilateral sagittal split osteotomy (BSSO) in the surgery, in several situations BSSO should be performed first. The aim of this study to present the case of a 22 years old female patient with class III malocclusion and facial asymmetry.The desired movements were planned in 3D virtual planning on the computer with Nemofab software.Any complication was observed in the postoperative follow-up of the patient. Conclusion: The maxillofacial deformities are treated with orthodontics and maxillofacial surgery co-operation. Traditional model surgery is generally used for surgical planning but computer aided virtual planning and printed surgical templates from 3D printers is a good alternative for surgical planning nowadays.