Facial Soft Tissue Esthetic Predictions: Validation in Craniomaxillofacial Surgery With Cone Beam Computed Tomography Data
| Autor: | Alberto Bianchi, Claudio Marchetti, Sara Amadori, Louis Muyldermans, Alessandro Sarti, Lorenzo Lancellotti, Mirko Di Martino |
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| Přispěvatelé: | A.Bianchi A., Muyldermans L., Di Martino M., Lancellotti L., Amadori S, Sarti A., Marchetti C. |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Cone beam computed tomography ORTHOGNATHIC SURGERY Adolescent Cephalometry medicine.medical_treatment Software Validation Orthognathic surgery Dentistry CONE BEAM TOMOGRAPHY Image processing SOFTWARE Standard deviation Facial Bones Young Adult Software Imaging Three-Dimensional stomatognathic system medicine Image Processing Computer-Assisted Humans Computer Simulation Orthodontics Reproducibility business.industry Orthognathic Surgical Procedures Skull Soft tissue Craniomaxillofacial surgery Cone-Beam Computed Tomography Maxillofacial Abnormalities Osteotomy Treatment Outcome Otorhinolaryngology Surgery Computer-Assisted Face SOFT TISSUE PREDICTION Surgery Female Oral Surgery business |
| Popis: | Purpose Facial soft tissue prediction in orthognathic surgery could be a valuable aid to preview the results and determine the best surgical treatment. After many years, considerable difficulties are still present in the prediction of the clinical final aspect. The object of the present study was to validate new soft tissue simulation software (SurgiCase CMF; Materialise, Leuven, Belgium), using data acquired by cone beam computed tomography (CBCT), that makes it possible to foresee the final result. Materials and Methods Ten patients with craniomaxillofacial deformations underwent CBCT before surgery. Using the SurgiCase CMF software, the data were reconstructed in 3 dimensions, and various osteotomies were simulated in a 3-dimensional virtual environment by applying different surgical procedures. At 6 months after surgery, the patients underwent repeat CBCT. Thus, it was possible to superimpose the pre- and postoperative CBCT studies to evaluate the reproducibility and reliability of the software. Results CBCT simulations defined an average absolute error of 0.94 mm, a standard deviation of 0.90 mm, and a percentage of error less than 2 mm of 86.80%. Conclusion The preliminary results have allowed us to conclude that simulations in orthognathic surgery for skull-maxillofacial deformities using CBCT acquisition are reliable, in addition to the low radiation exposure, and could become the reference standard to plan surgical treatment. |
| Databáze: | OpenAIRE |
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