What CT Superimpositions Actually Tell Us About Jaw Surgery Outcomes

In this episode, Dr. Bobek and Dr. Wasson discuss CT superimpositions in orthognathic surgery: what they are, when they are useful, and why more surgeons are not routinely doing them.Topics covered in this episode:- What superimposition means in the context of jaw surgery outcomes and how it differs from just reviewing a post-op CT- Uses beyond outcome review: condylar hyperplasia monitoring, assessing post-surgical changes, and evaluating growth- Superimposing pre-op to post-op vs. plan to executed result and why the latter is harder to access- What the data actually shows when you overlay your plan against what happened in the OR- How mandible splits, Dalpont positioning, proximal segment seating, and inferior border shape look on superimposition vs. what surgeons assume- Accuracy of stock vs. custom hardware in AP advancement and what that means for planning- The case for doing this routinely in residency and early practice- Revision surgery: why superimposing pre-op, post-op, and the new plan together is one of the most useful tools in that consultation- Managing patient expectations in revision cases using imaging data- Practical barriers: software access, planning company file ownership, and how long it actually takes📬 Questions or topic suggestions: [email protected] Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.