Noha Essam Thabet , Kadry Nasr Geisa And Khaled Amr,

ABSTRACT

Objectives: Evaluation Of The Esthetics Satisfaction Of The Patient And Accuracy By Using Computer Assisted Custom Made Plates In Advancement Genioplasty. Patients And Methods: A Total Of Ten Patients Were Selected From The Out-patient Clinic At The Oral And Maxillofacial Surgery Department And Orthodontic Departments, Faculty Of Oral And Dental Medicine At Cairo University. Patients Were Indicated For Advancement Genioplasty Using Custom Made Plate And Its Bony Based Surgical Guide. The Surgery Was Performed On Adult Patient Age Range From 20 Till 30 Years Old Including 6 Females And 4 Males. Postoperatively Each Patient Was Followed Up 72 Hours, Ten Days, Three Weeks, One Half Month And Three Months Form Day Of Surgery And Then Monthly For 6 Months.

Results: All Patients With Advancement Genioplasty Recovered Totally From A Neurosensory Deficit. The Level Of Satisfaction Was Significantly High For All The Patients. The Results Were Judged To Be Excellent In 73.2% And Good In 26.8% Of The Cases. All Patients Were Satisfied With Their Appearance, Improved Motor Function, And Enhanced Quality Of Life. Conclusion: Computer Assisted Custom Made Plates With Its Bone Based Surgical Guide Designed On Mimics Software Aid In Producing Accurate Measurements Of Osteotomy Position And The Amount Of Chin Advancement. The Surgical Bony Guide And Custom Made Plate Help In Eliminating The Human Error And Save Time By Accurately Determining The Best Osteotomy Position According To The Previous Planed Measurements, As Well It Improves Patients Esthetics Satisfaction