DOI QR코드

DOI QR Code

Use of spherical coordinates to evaluate three-dimensional facial changes after orthognathic surgery

  • Yoon, Suk-Ja (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chonnam National University) ;
  • Wang, Rui-Feng (Department of Biologic and Material Sciences, School of Dentistry, University of Michigan) ;
  • Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Hwang, Hyeon-Shik (Department of Orthodontics, School of Dentistry, Chonnam National University) ;
  • Kang, Byung-Cheol (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chonnam National University) ;
  • Lee, Jae-Seo (Department of Oral and Maxillofacial Radiology, School of Dentistry, Chonnam National University) ;
  • Palomo, Juan M. (Department of Orthodontics, School of Dental Medicine, Case Western Reserve University)
  • 투고 : 2013.07.26
  • 심사 : 2013.09.28
  • 발행 : 2014.03.31

초록

Purpose: This study aimed to assess the three-dimensional (3D) facial changes after orthognathic surgery by evaluating the spherical coordinates of facial lines using 3D computed tomography (CT). Materials and Methods: A 19-year-old girl was diagnosed with class III malocclusion and facial asymmetry. Orthognathic surgery was performed after orthodontic treatment. Facial CT scans were taken before and after orthognathic surgery. The patient had a menton deviation of 12.72 mm before surgery and 0.83 mm after surgery. The spherical coordinates of four bilateral facial lines (ramal height, ramal lateral, ramal posterior and mandibular body) were estimated from CT scans before and after surgery on the deviated and opposite side. Results: The spherical coordinates of all facial lines changed after orthognathic surgery. Moreover, the bilateral differences of all facial lines changed after surgery, and no bilateral differences were zero. Conclusion: The spherical coordinate system was useful to compare differences between the presurgical and postsurgical changes to facial lines.

키워드

참고문헌

  1. Aaronson SA. A cephalometric investigation of the surgical correction of mandibular prognathism. Angle Orthod 1967; 37: 251-60.
  2. Fromm B, Lundberg M. The soft-tissue facial profile before and after surgical correction of mandibular protrusion. Acta Odontol Scand 1970; 28: 157-77. https://doi.org/10.3109/00016357009032025
  3. Robinson SW, Speidel TM, Isaacson RJ, Worms FW. Soft tissue profile change produced by reduction of mandibular prognathism. Angle Orthod 1972; 42: 227-35.
  4. Hershey HG, Smith LH. Soft-tissue profile change associated with surgical correction of the prognathic mandible. Am J Orthod 1974; 65: 483-502. https://doi.org/10.1016/0002-9416(74)90031-1
  5. Fanibunda KB. Changes in the facial profile following correction for mandibular prognathism. Br J Oral Maxillofac Surg 1989; 27: 277-86. https://doi.org/10.1016/0266-4356(89)90038-7
  6. Gjorup H, Athanasiou AE. Soft-tissue and dentoskeletal profile changes associated with mandibular setback osteotomy. Am J Orthod Dentofacial Orthop 1991; 100: 312-23. https://doi.org/10.1016/0889-5406(91)70068-8
  7. McCance AM, Moss JP, Fright WR, James DR, Linney AD. A three dimensional analysis of soft and hard tissue changes following bimaxillary orthognathic surgery in skeletal III patients. Br J Oral Maxillofac Surg 1992; 30: 305-12. https://doi.org/10.1016/0266-4356(92)90180-Q
  8. Cho EJ, Yang WS. Soft tissue changes after double jaw surgery in skeletal class III malocclusion. Korean J Orthod 1996; 26: 1-16.
  9. Lin SS, Kerr WJ. Soft and hard tissue changes in Class III patients treated by bimaxillary surgery. Eur J Orthod 1998; 20: 25-33. https://doi.org/10.1093/ejo/20.1.25
  10. Soncul M, Bamber MA. Evaluation of facial soft tissue changes with optical surface scan after surgical correction of Class III deformities. J Oral Maxillofac Surg 2004; 62: 1331-40. https://doi.org/10.1016/j.joms.2004.04.019
  11. Chew MT. Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients. Angle Orthod 2005; 75: 959-63.
  12. Park JW, Kim NK, Kim MJ, Chang YI. Three-dimensional analysis of soft and hard tissue changes after mandibular setback surgery in skeletal Class III patients. Korean J Orthod 2005: 35; 320-9.
  13. Sforza C, Peretta R, Grandi G, Ferronato G, Ferrario VF. Threedimensional facial morphometry in skeletal Class III patients. A non-invasive study of soft-tissue changes before and after orthognathic surgery. Br J Oral Maxillofac Surg 2007; 45: 13844.
  14. Baek SH, Cho IS, Chang YI, Kim MJ. Skeletodental factors affecting chin point deviation in female patients with class III malocclusion and facial asymmetry: a three-dimensional analysis using computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007; 104: 628-39. https://doi.org/10.1016/j.tripleo.2007.03.002
  15. Jung YJ, Kim MJ, Baek SH. Hard and soft tissue changes after correction of mandibular prognathism and facial asymmetry by mandibular setback surgery: three-dimensional using computerized tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107: 763-71. https://doi.org/10.1016/j.tripleo.2008.12.026
  16. Hwang HS, Hwang CH, Lee KH, Kang BC. Maxillofacial 3-dimensional image analysis for the diagnosis of facial asymmetry. Am J Orthod Dentofacial Orthop 2006; 130: 779-85. https://doi.org/10.1016/j.ajodo.2005.02.021
  17. Kim EJ, Palomo JM, Kim SS, Lim HJ, Lee KM, Hwang HS. Maxillofacial characteristics affecting chin deviation between mandibular retrusion and prognathism patients. Angle Orthod 2011; 81: 988-93 https://doi.org/10.2319/112210-681.1
  18. Fisher NI, Lewis T, Embleton BJ. Statistical analysis of spherical data. Cambridge: Cambridge University Press; 1987. p. 17-28.
  19. Yoon SJ, Wang RF, Hwang HS, Kang BC, Lee JS, Palomo JM. Application of spherical coordinate system to facial asymmetry analysis in mandibular prognathism patients. Imaging Sci Dent 2011; 41: 95-100. https://doi.org/10.5624/isd.2011.41.3.95
  20. Yoon SJ, Wang RF, Na HJ, Palomo JM. Normal range of facial asymmetry in spherical coordinates: a CBCT study. Imaging Sci Dent 2013; 43: 31-6. https://doi.org/10.5624/isd.2013.43.1.31
  21. Masuoka N, Muramatsu A, Ariji Y, Nawa H, Goto S, Ariji E. Discriminative thresholds of cephalometric indexes in the subjective evaluation of facial asymmetry. Am J Orthod Dentofacial Orthop 2007; 131: 609-13. https://doi.org/10.1016/j.ajodo.2005.07.020
  22. Haraguchi S, Takada K, Yasuda Y. Facial asymmetry in subjects with skeletal Class III deformity. Angle Orthod 2002; 72: 28-35.