The statistical shape model as a quality assurance measure in the treatment of complex midface fractures: a case control study
| Autor: | Marc C. Metzger, Stefan Schlager, Steffen Schwarz, Marc Anton Fuessinger, Mathieu Gass, Philipp Poxleitner, Leonard Simon Brandenburg |
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| Rok vydání: | 2021 |
| Předmět: |
Orthodontics
Dorsum 3D planning Virtual defect reconstruction Statistical shape model (SSM) business.industry Impaction Research medicine.medical_treatment Specialties of internal medicine RC581-951 Otorhinolaryngology Virtual planning Occlusion Head and neck surgery Bilateral midface fracture Medicine Neurology (clinical) business Trial registration General Dentistry Quality assurance Computer-assisted surgery (CAS) Reduction (orthopedic surgery) |
| Zdroj: | Head & Face Medicine Head & Face Medicine, Vol 17, Iss 1, Pp 1-7 (2021) |
| ISSN: | 1746-160X |
| DOI: | 10.1186/s13005-021-00296-w |
| Popis: | Background Complex bilateral midface fractures necessitate a surgically challenging procedure to preserve or restore the occlusion and the sensitive eye area. In this case control study, we aim to show the potential of a statistical shape model (SSM) for measuring the quality of the midface reconstruction, compared to the estimated preoperative situation. Methods An individualized SSM was postoperatively registered on 19 reconstructed complex bilateral midface fractures. Using this SSM, the distances from the simulated preoperative situation to the postoperative positions of the fracture segments were calculated. The fracture lines for Le Fort II, Le Fort III, and NOE fractures were chosen as reference points for the distance measurements. Results The SSM could be registered on all 19 complex bilateral midface fractures. All analyzed fractures showed a dorsal impaction (negative values) of the midface. Le Fort II fractures showed deviation values of –0.98 ± 4.6 mm, Le Fort III fractures showed values of –3.68 ± 3.6 mm, NOE type 2 fractures showed values of –0.25 ± 4.6 mm, and NOE type 1 fractures showed values of –0.25 ± 4.6 mm. Conclusions The SSM can be used to measure the quality of the achieved reduction of complex bilateral midface fractures based on the estimated preoperative situation. Trial registration DRKS00009719. |
| Databáze: | OpenAIRE |
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