Treatment of hemimandibular hyperplasia by computer-aided design and computer-aided manufacturing cutting and drilling guides accompanied with pre-bent titanium plates.

PURPOSE: The treatment of hemimandibular hyperplasia (HH) is difficult by performing condylectomy and orthognathic surgery in one stage. This study investigated the clinical feasibility of treating HH with computer-aided design and computer-aided manufacturing (CAD/CAM) cutting and drilling guides and the pre-bent titanium plates to improve the accuracy of operation to avoid condyle reconstruction. METHODS: 12 patients diagnosed with HH were included in this study from 2014 to 2018. Conservative condylectomy and bimaxillary orthognathic surgery were performed in all patients. The CAD/CAM cutting and drilling guides and the pre-bent titanium plates were used to guide surgeries. Follow-up and radiographic examinations were performed. The difference between virtually simulated and postoperative models was measured. RESULTS: All patients got satisfactory and stable results, without complications or obvious relapse during follow-up. Occlusion relationship, temporomandibular joint function and facial symmetry were improved obviously after surgery. Comparison between simulated plans and actual postoperative outcomes showed that the surgical plans were transferred accurately. CONCLUSIONS: CAD/CAM cutting and drilling guides and the pre-bent titanium plates described in this paper can help transferring the results from computer simulation to the operating room accurately. Conservative condylectomy can be operated exactly matching bimaxillary orthognathic surgery for treating HH, avoiding condyle reconstruction.

Static FT imaging spectrometer based on a modified waveguide MZI array.

We proposed a large aperture push-broom static Fourier transform (FT) imaging spectrometer for hyper-spectral imaging. The spectroscopic system was based on the silicon-on-insulator (SOI) platform, consisting of spot size converters, a Mach-Zehnder interferometer (MZI) array, and a detector array. The arm length differences of the 201 MZI arrays are linearly varied. It is one on-chip FT spectrometer operating in a large spectral range from 1100 to 1700 nm with a resolution of 24 cm-1 and small foot print (chip size: 11 mm×15 mm). The waveguide-MZI-based large aperture push-broom FT spectrometer can provide a compact solution for high spectral resolution remote sensing in both the fore-optic lens and the spectroscopic system.