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] The 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.