Browse > Article

SKELETAL PATTERN ANALYSIS OF FACIAL ASYMMETRY PATIENT USING THREE DIMENSIONAL COMPUTED TOMOGRAPHY  

Choi, Jung-Goo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Min, Seung-Ki (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Oh, Seung-Hwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Kwon, Kyung-Hwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Choi, Moon-Ki (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Lee, June (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Oh, Se-Ri (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Yu, Dae-Hyun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.34, no.6, 2008 , pp. 622-627 More about this Journal
Abstract
In orthognathic surgery, precise analysis and diagnosis are essential for successful results. In facial asymmetric patient, traditional 2D image analysis has been used by lateral and P-A Cephalometric view, Skull PA, Panorama, Submentovertex view etc. But clinicians sometimes misdiagnose because they cannot find exact landmark due to superimposition, moreover image can be magnified and distorted by projection technique or patient's skull position, when using these analysis and method. For overcome these defects, analysis by using of 3D CT has been introduced. In this way we can analysis precisely by getting the exact image free of artifact and finding exact landmark with no interruption of superimposition. So we want to review of relationship between various skeletal landmarks of mandible or cranial base and facial asymmetry by predictable analysis using 3D CT. We select the cases of the patients who visited our department for correction of facial asymmetry during 2003-2007 and who were taken image of 3D CT for diagnosis. 3D CT images were reconstructed to 3D image by using V-Work program (Cybermed Inc., Seoul, Korea). And we analysis the relationship between facial asymmetry and various affecting factor of skeletal pattern. The mandibular ramus hight difference between right and left was most affecting factor that express facial asymmetry. And in this research, there was no relationship between cranial base and facial asymmetry. The angulation between facial midline and mandibular ramus divergency has significant relationship with facial asymmetry
Keywords
Orthognathic surgery; Facial asymmetry; 3D CT; analysis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Tani M, Iketani M, Watanabe M, Suda S, Fujimura N, Miyazawa M, et al.: Posterior-anterior cephalometric analysis in patients with dentofacial deformities. J Jpn Stomatol Soc. 1989;35:1749
2 Severt TR, Proffit WR. : The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina. Int J Adult Orthodon Orthognath Surg. 1997;12:171-6
3 Mulick JF.: Clinical use of the frontal headfilm. Angle Orthod. 1965;35:299-304
4 Graber TM.: New horizons in case analysis-clinical cephalometrics. Am J. Orthodont. 1952；38:603-24   DOI   ScienceOn
5 Trpkova B, Prasad NG, Lam EW, Raboud D, Glover KE, Major PW. : Assessment of facial asymmetries from posteroanterior cephalograms: validity of reference lines. Am J Orthod Dentofacial Orthop. 2003;123:512-20   DOI   ScienceOn
6 Bishara SE, Burkey PS, Kharouf JG. : Dental and facial asymmetries, Angle Orthod 1994;64 : 89-98
7 Haraguchi S, Takada K, Yasuda Y. : Facial asymmetry in subjects with skeletal Class III deformity. Angle Orthod 2002;72:28-35
8 St John D, Mulliken JB, Kaban LB, Padwa BL. : Anthropometric analysis of mandibular asymmetry in infants with deformational posterior plagiocephaly. J Oral Maxillofac Surg 2002;60:873-877   DOI   ScienceOn
9 이충국. 이용환 : 비대칭안모 대한악안면성형외과학회지 1986;8:33-40
10 Sgouros S, Natarajan K, Hockely AD, Goldin JH, Wake M. : Skull base growth in childhood. Pediatr Neurosurg 1993;31:259-68   DOI   ScienceOn
11 T.-G. Kwon, H.-S. Park, H.-M. Ryoo, S.-H. Lee. : A comparison of craniofacial morphology in patients with and without facial asymmetry- a three-dimensional analysis with computed tomography. Int. J. Oral Maxillofac. Surg. 2006;35:43-48   DOI   ScienceOn
12 Pirttiniemi PM : Associations of mandibular and facial asymmetries- a review, Am J Orthod Dentofacial Orthop 1994;106 :191-200   DOI   ScienceOn
13 Kreiborg S, Moller E, Bjork A. : Skeletal and functional craniofacial adaptations in plagiocephaly. J Craniofac Genet Dev Biol Suppl 1985;1:199-210
14 안정순, 황현식 : 안면비대칭에 대한 주관적 인지도와 정모두부 방사선사진 분석치의 연관성. 대치교정지 2001;31:489-98
15 Vannier MW, Hildebolt CF, Conover G, Knapp RH, Yokoyama Crothers N, Wang G. : Three-dimensional dental imaging by spiral CT. A progress report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84:561-70   DOI   ScienceOn
16 Cavalcanti MGP, Haller JW, Vannier MW. : Three-dimensional computed tomo- graphy landmark measurement in craniofacial surgical planning: experimental validation in vitro. J Oral Maxillofac Surg 1999;57:690-4   DOI   ScienceOn
17 Hildebolt CF, Vannier MW, Knapp RH. : Validation study of skull three- dimensional computerized tomography measurements. Am J Phys Anthropol 1990; 82:283-94   DOI   ScienceOn
18 Bruneteau RJ, Mulliken JB. : Frontal plagiocephaly: synostotic, compensational, or deformational. Plast Reconstr Surg 1992;89:21-31   DOI
19 Matteson SR, Bechtold W, Phillips C. : A method for threedimensional image reformation for quantitative cephalometric analysis. J Oral Maxillofac Surg 1989; 47:1053-61   DOI   ScienceOn
20 Katsumata A, Fujishita M, Maeda M, Ariji Y, Ariji E, Langlais RP. : 3D-CT evaluation of facial asymmetry. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:212-20   DOI   ScienceOn
21 Kane AA, Lo LJ, Vannier MW, Marsh JL. : Mandibular dysmorphology in unicoronal synostosis and plagiocephaly without synostosis. Cleft Palate Craniofac J 1996;33: 418-423   DOI   ScienceOn
22 Xia J, Ip HH, Samman N, Wang D, Kot CS, Yeung RW, et al. : Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy. Int J Oral Maxillofac Surg 2000;29:11-7   DOI   ScienceOn
23 Fuhrmann RA, Schnappauf A, Diedrich PR. : Three-dimensional imaging of cranio -maxillofacial structures with a standard personal computer. Dentomaxillofac Radiol 1995;24:260-3   DOI
24 Peck H, Peck S. A concept of facial esthetics, Angle Orthod 40 : 284-318, 1970
25 Masahito Maeda, DDS,a Akitoshi Katsumata, DDS, PhD,b Yoshiko Ariji, DDS, PhD,c Atsushi Muramatsu, DDS,d Kenji Yoshida, DDS, PhD,e Shigemi Goto, DDS, PhD,f Kenichi Kurita, DDS, PhD,g Eiichiro Ariji, DDS, PhD,h Nagoya and Gifu, : Japan 3D-CT evaluation of facial asymmetry in patients with maxillofacial deformities Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;02:382-90
26 Captier G, Leboucq N, Bigorre M, Canovas F, Bonnel F, Bonnafe A, Montoya P. : Plagiocephaly: morphometry of skull base asymmetry. Surg Radiol Anat 2003;25: 226-233   DOI
27 Seung-Hak Baek, Il-Sik Cho et al. : 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   DOI   ScienceOn
28 Samman N, Tong AC, Cheung DL, Tideman H. : Analysis of 300 dentofacial deformities in Hong Kong. Int J Adult Orthodon Orthognath Surg. 1992;7:181-5
29 Cavalcanti MGP, Vannier MW. : Quantitative analysis of spiral computed tomo- graphy for craniofacial clinical applications. Dentomaxillofac Radiol 1998;27:344-50   DOI
30 Cavalcanti MGP, Vannier MW. : Quantitative analysis of spiral computed tomo- graphy for craniofacial clinical applications. Dentomaxillofac Radiol 1998;27:344-50   DOI
31 Cavalcanti MGP, Haller JW, Vannier MW. : Three-dimensional computed tomography landmark measurement in craniofacial surgical planning: experimental validation in vitro. J Oral Maxillofac Surg 1999;57:690-4   DOI   ScienceOn
32 Ricketts RM.: Cephalometric synthesis. Am J. Orthodontics. 1960;46:647-73   DOI   ScienceOn
33 Nawaratne S, Fabiny R, Brien JE, Zalcberg J, Cosolo W, Whan A, et al. : Accuracy of volume measurement using helical CT. J Comput Assist Tomogr 1997;21:481-6   DOI   ScienceOn
34 Kiyak HA. Hohl T, Sherrick P. et, al. : Sex differences in motives for and out- comes of orthognathic surgery, J Oral Surg 1981;39:757-64
35 Graber TM.： A critical review of clinical cephalometric radiography. Am J. Orthodont. 1954；40:1-26   DOI   ScienceOn
36 Fukushima K, Yasui K, Oatuka Y, Matsui S, Hirase N, Takayanagi J, et al. : Morphological characteristics of patients with jaw deformity Frontal cepharometric evaluation of facial symmetry. J Meikai Univ Dent 2003;32:118-23
37 Sassouni V.: Diagnosis and treatment planning via roentgenographic cephalometry. Am J. Orthodontics. 1958;44:433-63c   DOI   ScienceOn
38 Kawamata A, Ariji Y, Langlais RP. : Three-dimensional computed tomography imaging in dentistry. Dent Clin North Am 2000;44:395-410
39 Xia J, Ip HH, Samman N, Wang D, Kot CS, Yeung RW, et al. : Computer-assisted three-dimensional surgical planning and simulation: 3D virtual osteotomy. Int J Oral Maxillofac Surg 2000;29:11-7   DOI   ScienceOn
40 Sakurai A, Hirabayashi S, Sugawara Y, Harii K. : Skeletal analysis of craniofacial asymmetries in plagiocephaly (unilateral coronal synostosis). Scand J Plast Reconstr Surg Hand Surg 1998;32: 81-89   DOI
41 Kawamata A, Ariji Y, Langlais RP. : Three-dimensional imaging for orthognathic surgery and orthodontic treatment. Oral Maxillofac Surg Clin North Am 2001;13:713-25
42 Nawaratne S, Fabiny R, Brien JE, Zalcberg J, Cosolo W, Whan A, et al. : Accuracy of volume measurement using helical CT. J Comput Assist Tomogr 1997;21:481-6   DOI   ScienceOn