Evaluation of aesthetic outcomes of mandibular reconstruction using artificial intelligence.

Autor: Hidaka T; Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Miyamoto S; Department of Plastic, Reconstructive and Aesthetic Surgery, Graduate School of Medicine, The University of Tokyo, Hongo, Japan., Furuse K; Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Fukunaga Y; Department of Plastic Surgery, Naruto Hospital, Naruto, Japan., Oshima A; Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Matsuura K; Department of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan., Higashino T; Department of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
Jazyk: angličtina
Zdroj: Head & neck [Head Neck] 2024 Nov; Vol. 46 (11), pp. 2699-2708. Date of Electronic Publication: 2024 May 03.
DOI: 10.1002/hed.27797
Abstrakt: Background: Although vascularized bone graft (VBG) transfer is the current standard for mandibular reconstruction, reconstruction with a mandibular reconstruction plate (MRP) and with a soft-tissue flap (STF) alone remain crucial options for patients with poor general conditions. However, objective aesthetic outcome evaluations for these methods are limited.
Methods: In a retrospective analysis of 65 patients (VBG, 33; MRP, 19; and STF, 13), mandibular asymmetry value was calculated for each patient's photograph using facial recognition AI, with a higher value indicating worse asymmetry.
Results: The MRP group had a value comparable to the VBG group regardless of mandibular defect types. The STF group had a significantly higher value than the VBG group.
Conclusions: Regarding cosmesis, STF was inferior to VBG, whereas MRP was comparable to VBG, even for anterior defects for which rigid reconstruction is mandatory. However, MRP's risks of plate-related complications limit its use to cases where VBG is contraindicated or with poor prognosis.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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