<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-0558</journal-id>
<journal-title><![CDATA[Revista Española de Cirugía Oral y Maxilofacial]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Cirug Oral y Maxilofac]]></abbrev-journal-title>
<issn>1130-0558</issn>
<publisher>
<publisher-name><![CDATA[ Sociedad Española de Cirugía Oral y Maxilofacial y de Cabeza y Cuello]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-05582017000100007</article-id>
<article-id pub-id-type="doi">10.1016/j.maxilo.2016.05.001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Guías y miniplacas personalizadas: un protocolo guiado para cirugía ortognática]]></article-title>
<article-title xml:lang="en"><![CDATA[Customised guides and mini-plates: a guided-protocol for orthognathic surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Brunso]]></surname>
<given-names><![CDATA[Joan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Prol]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carlos]]></surname>
<given-names><![CDATA[Félix de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martin]]></surname>
<given-names><![CDATA[Jesús Carmelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santamaria]]></surname>
<given-names><![CDATA[Joseba Andoni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Cruces BioCruces Health Research Institute Servicio de Cirugía Oral y Maxilofacial]]></institution>
<addr-line><![CDATA[Barakaldo Bizkaia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Oviedo Departamento de Cirugía y Especialidades Médico Quirúrgicas ]]></institution>
<addr-line><![CDATA[Oviedo ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>1</numero>
<fpage>7</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-05582017000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-05582017000100007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-05582017000100007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los avances tecnológicos en planificación e impresión 3D permiten sinterizar productos sanitarios personalizados mediante un flujo de trabajo completamente digital. El objetivo de este trabajo es presentar y evaluar un nuevo sistema posicionador para cirugía ortognática (SPO), basado en el uso de una guía hueso-soportada y una miniplaca personalizada, que permite posicionar el fragmento maxilar sin la necesidad de una férula oclusal intermaxilar.  Material y métodos: Se trata de un estudio prospectivo observacional sobre 10 casos de cirugía bimaxilar en los que se ha seguido un protocolo de planificación inversa. Tanto la guía como la miniplaca personalizada fueron diseñadas con tecnología computer aided-desing/manufacturing (CAD-CAM) y fabricadas por sinterizado láser de polvo de titanio puro comercial. Para analizar la precisión obtenida, se realizó un estudio comparativo superponiendo la planificación con una tomografía computarizada realizada un mes posterior a la cirugía.  Resultados: El SPO se pudo aplicar con éxito en todos los casos sin observarse fenómenos de intolerancia al material. Permitió simplificar notablemente el procedimiento y reducir los tiempos quirúrgicos, al evitar la fijación intermaxilar, el moldeado de la miniplaca y la necesidad de realizar mediciones intraoperatorias. En el estudio postoperatorio se obtuvo una precisión media del 68,1% ± 1 mm.  Conclusiones: Los sistemas de posicionamiento para cirugía ortognática que incluyan sistemas personalizados de osteosíntesis pueden ser una opción de futuro que permita incrementar la precisión y la seguridad del procedimiento, así como reducir los tiempos quirúrgicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Technological advances in preoperative planning and 3D printing allow custom-made biomedical devices to be synthesised using a completely digital workflow. The aim of this paper is to present and critically evaluate a new Orthognathic Positioning System (OPS) for Orthognathic Surgery. The OPS used bone-supported guides and a custom mini-plate to allow maxillary fragment positioning and fixation without the need for an inter-maxillary occlusal splint.  Materials and methods: A prospective observational study was conducted on 10 cases of bimaxillary surgery using an inverse planning protocol. The guide and the custom-made mini-plate were designed using CAD-CAM software and synthesised by laser from commercially pure titanium powder. Accuracy was evaluated by overlap comparison of the virtual planning and 1-month postoperative CT scan. Operation times, complications, and overall safety profile were analysed.  Results: The OPS was successfully applied to all cases, and was well tolerated. Operation times were reduced by avoiding inter-maxillary fixation, mini-plate bending, and obviating the need for intra-operative measurements. A mean postoperative accuracy of 1 mm was obtained in 68.1% of cases.  Conclusions: The positioning systems for orthognathic surgery that involve custom made systems of osteosynthesis, can be a future option that could increase accuracy and the safety of the procedure, as well as the surgical times. We believe this novel technology is a step forward in optimising and improving the delivery of orthognathic surgery care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía ortognática]]></kwd>
<kwd lng="es"><![CDATA[CAD-CAM]]></kwd>
<kwd lng="es"><![CDATA[Computer-aided design]]></kwd>
<kwd lng="es"><![CDATA[Cirugía guiada]]></kwd>
<kwd lng="es"><![CDATA[Planificación digital]]></kwd>
<kwd lng="es"><![CDATA[Apnea del sueño]]></kwd>
<kwd lng="en"><![CDATA[Orthognathic surgery]]></kwd>
<kwd lng="en"><![CDATA[CAD-CAM]]></kwd>
<kwd lng="en"><![CDATA[Computer-aided design]]></kwd>
<kwd lng="en"><![CDATA[Guided surgery]]></kwd>
<kwd lng="en"><![CDATA[Digital Planning]]></kwd>
<kwd lng="en"><![CDATA[Sleep Apnoea]]></kwd>
</kwd-group>
</article-meta>
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