Research Article


DOI :10.26650/IUITFD.2021.836789   IUP :10.26650/IUITFD.2021.836789    Full Text (PDF)

A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL

Erol KozanoğluBora Edim AkalınHayri Ömer BerközSoner KaraaliNermin MammadovaErman AkAhmet Faruk YücelUfuk Emekli

Objective: Patient safety and low complication rates are indispensable in surgical training and models are among the main educational tools. The aim of this study is to assess the efficiency of a novel model for orthognathic mandibular osteotomy. Material and Methods: A template and seventeen partial mandibular models (MM-17) were manufactured with air dried clay. The dimensions of the models were feasible for sagittal split ramus osteotomy (SSRO). Model surgery was performed by surgeons with a minimum of three years’ experience in orthognathic surgery. Each surgeon operated four separate models and the following data were recorded: corticotomy and SSRO completion time, MM-17 fracture type, similarity value of MM-17 with native mandible, representation value of MM-17, and the training compatibility value of MM-17. Results: The cost was 0.6 American Dollars. The mean corticotomy time was 126.75 seconds (110-150). Mean cortical resistance similarity value was 8.75 (8-10). The mean SSRO time was 288 seconds (205-401). Sixty percent of the fractures were seen in the outer cortex. The mean medullary resistance similarity value was 5 (4-6) and mean mandibular representation value was 5.25 (4-7). The training compatibility value was 8.25 (7-10). 

Conclusion: Air dried clay demonstrated mechanical similarities with bone cortex and it was used for mandibular modelling for the first time. MM-17 cost less than other devices. Corticotomy and SSRO completion times were short due to the lack of dissection and bleeding. Despite its drawbacks in SSRO, MM-17 is a versatile and low cost alternative in orthognathic mandibular corticotomy training. High power drill utilization skills may be gained with MM-17 before clinical practice.

DOI :10.26650/IUITFD.2021.836789   IUP :10.26650/IUITFD.2021.836789    Full Text (PDF)

ORTOGNATİK MANDİBULA OSTEOTOMİSİNDE YENİ BİR EĞİTİM SEÇENEĞİ: HAVA KURUTMALI KİL MODELİ

Erol KozanoğluBora Edim AkalınHayri Ömer BerközSoner KaraaliNermin MammadovaErman AkAhmet Faruk YücelUfuk Emekli

Amaç: Hasta güvenliği ve düşük komplikasyon oranları cerrahi eğitimde olmazsa olmazdır ve modeller temel eğitim yöntemleri arasındadır. Bu çalışmanın amacı, ortognatik mandibula osteotomisinde yeni bir modelin etkinliğini değerlendirmektir. Gereç ve Yöntemler: Hava kurutmalı kilden bir şablon ve 17 kısmi mandibula modeli (MM-17) üretildi. Modellerin boyutları sagittal split ramus osteotomisine (SSRO) uygundu. Model cerrahisi ortognatik cerrahide en az üç yıllık deneyimi olan dört cerrah tarafından yapıldı. Her cerrah dört ayrı modelde çalıştı ve şu değerler kaydedildi: kortikotomi ve SSRO tamamlanma süresi, MM-17 kırığı ve türü, MM-17’nin mandibula ile benzerlik değeri, temsil değeri ve eğitim uygunluk değeri. Bulgular: Maliyet 0,6 Amerikan Doları’ydı. Ortalama kortikotomi süresi 127,75 saniyeydi (110-150). Ortalama korteks direnç benzerliği değeri 8,75’ti (8-10). Ortalama SSRO süresi 288 saniyeydi (205-401). Kırıkların yüzde altmışı dış korteksteydi. Ortalama medulla direnç benzerlik değeri 5 (4-6) ve ortalama mandibula temsil değeri 5,25’ti (4-7). Eğitim uygunluk değeri 8,25’ti (7-10). Sonuç: Hava kurutmalı kil, kemik korteksi ile mekanik benzerlikler göstermektedir ve mandibula modeli üretiminde ilk kez kullanılmıştır. Ayrıca, MM-17 diğer modellerden daha ucuzdur. Kortikotomi ve SSRO tamamlanma süreleri kısadır. Çünkü disseksiyon ve kanama gibi hastaya bağlı etkenler yoktur. SSRO’daki yetersizliklerine rağmen MM-17 ortognatik mandibular kortikotomi eğitiminde çok kullanışlı ve düşük maliyetli bir seçenektir. Yüksek devirli motor kullanımı becerileri klinik uygulama öncesi MM-17 ile edinilebilir.


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APA

Kozanoğlu, E., Akalın, B.E., Berköz, H.Ö., Karaali, S., Mammadova, N., Ak, E., Yücel, A.F., & Emekli, U. (2021). A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL. Journal of Istanbul Faculty of Medicine, 84(4), 482-487. https://doi.org/10.26650/IUITFD.2021.836789


AMA

Kozanoğlu E, Akalın B E, Berköz H Ö, Karaali S, Mammadova N, Ak E, Yücel A F, Emekli U. A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL. Journal of Istanbul Faculty of Medicine. 2021;84(4):482-487. https://doi.org/10.26650/IUITFD.2021.836789


ABNT

Kozanoğlu, E.; Akalın, B.E.; Berköz, H.Ö.; Karaali, S.; Mammadova, N.; Ak, E.; Yücel, A.F.; Emekli, U. A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 84, n. 4, p. 482-487, 2021.


Chicago: Author-Date Style

Kozanoğlu, Erol, and Bora Edim Akalın and Hayri Ömer Berköz and Soner Karaali and Nermin Mammadova and Erman Ak and Ahmet Faruk Yücel and Ufuk Emekli. 2021. “A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL.” Journal of Istanbul Faculty of Medicine 84, no. 4: 482-487. https://doi.org/10.26650/IUITFD.2021.836789


Chicago: Humanities Style

Kozanoğlu, Erol, and Bora Edim Akalın and Hayri Ömer Berköz and Soner Karaali and Nermin Mammadova and Erman Ak and Ahmet Faruk Yücel and Ufuk Emekli. A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL.” Journal of Istanbul Faculty of Medicine 84, no. 4 (Oct. 2021): 482-487. https://doi.org/10.26650/IUITFD.2021.836789


Harvard: Australian Style

Kozanoğlu, E & Akalın, BE & Berköz, HÖ & Karaali, S & Mammadova, N & Ak, E & Yücel, AF & Emekli, U 2021, 'A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL', Journal of Istanbul Faculty of Medicine, vol. 84, no. 4, pp. 482-487, viewed 20 Oct. 2021, https://doi.org/10.26650/IUITFD.2021.836789


Harvard: Author-Date Style

Kozanoğlu, E. and Akalın, B.E. and Berköz, H.Ö. and Karaali, S. and Mammadova, N. and Ak, E. and Yücel, A.F. and Emekli, U. (2021) ‘A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL’, Journal of Istanbul Faculty of Medicine, 84(4), pp. 482-487. https://doi.org/10.26650/IUITFD.2021.836789 (20 Oct. 2021).


MLA

Kozanoğlu, Erol, and Bora Edim Akalın and Hayri Ömer Berköz and Soner Karaali and Nermin Mammadova and Erman Ak and Ahmet Faruk Yücel and Ufuk Emekli. A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL.” Journal of Istanbul Faculty of Medicine, vol. 84, no. 4, 2021, pp. 482-487. [Database Container], https://doi.org/10.26650/IUITFD.2021.836789


Vancouver

Kozanoğlu E, Akalın BE, Berköz HÖ, Karaali S, Mammadova N, Ak E, Yücel AF, Emekli U. A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL. Journal of Istanbul Faculty of Medicine [Internet]. 20 Oct. 2021 [cited 20 Oct. 2021];84(4):482-487. Available from: https://doi.org/10.26650/IUITFD.2021.836789 doi: 10.26650/IUITFD.2021.836789


ISNAD

Kozanoğlu, Erol - Akalın, BoraEdim - Berköz, HayriÖmer - Karaali, Soner - Mammadova, Nermin - Ak, Erman - Yücel, AhmetFaruk - Emekli, Ufuk. A NOVEL TRAINING ALTERNATIVE IN ORTHOGNATHIC MANDIBULAR OSTEOTOMY: AIR DRIED CLAY MODEL”. Journal of Istanbul Faculty of Medicine 84/4 (Oct. 2021): 482-487. https://doi.org/10.26650/IUITFD.2021.836789



TIMELINE


Submitted06.12.2020
Accepted01.02.2021
Published Online21.09.2021

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