A novel computer-aided surgical simulation (CASS) system to streamline orthognathic surgical planning

Abstract

Orthognathic surgery is a surgical procedure to correct jaw deformities. It requires extensive presurgical planning. We developed a novel computeraided surgical simulation (CASS) system, the AnatomicAligner, for doctors planning the entire orthognathic surgical procedure in computer following our streamlined clinical protocol. The computerized plan can be transferred to the patient at the time of surgery using digitally designed surgical splints. The system includes six modules: image segmentation and three-dimensional (3D) model reconstruction; registration and reorientation of the models to neutral head posture (NHP) space, 3D cephalometric analysis, virtual osteotomy, surgical simulation, and surgical splint designing. The system has been validated using the 5 sets of patient’s datasets. The AnatomicAligner system will be soon available freely to the broader clinical and research communities.