History and Evolution of Orthognathic Surgery at Chang Gung Craniofacial Center: Lessons Learned From 35-Year Experience.

摘要: BACKGROUND Modern orthognathic surgery (OGS) was established on the basis of contributions from multidisciplinary centers worldwide. This study reports history and evolution OGS at Chang Gung Craniofacial Center (CGCC) identifies lessons learned 35 years experience. METHODS The total number procedures managed by CGCC team between 1981 2016 determined. database senior author (Y.-R.C.) reviewed for consecutive performed 2003 2016. A literature review also to retrieve team. RESULTS experience a single center 13-year surgeon corresponded 8073 2883 procedures, respectively. Moreover, 53 peer-reviewed articles were reviewed. Teamwork (plastic surgeons, orthodontists, anesthetists) ensured an optimal balance occlusion functional facial aesthetic outcomes, with patient safety minimum OGS-related complications. Progression conventional orthodontics-first approach surgery-first decreased overall treatment time. Transition 1-jaw 2-jaw enabled more consistent outcomes be achieved. Conversion 2-splint single-splint technique development precise tridimensional simulation plan surgical execution, including in challenging scenarios such as malocclusion associated asymmetry. Clockwise pitch rotation maxillomandibular complex has been designed purposes class III malocclusion, whereas counterclockwise improves airway function those sleep apnea. CONCLUSIONS outcome-based reveal that successfully evolved CGCC, being achieved effective decreases burden care (ie, morbidity, complications, time).