The accuracy of 3D prediction planning for the surgical correction of facial deformities using Maxilim

Shafi, M.I., Ayoub, A. , Ju, X. and Khambay, B.S. (2013) The accuracy of 3D prediction planning for the surgical correction of facial deformities using Maxilim. International Journal of Oral and Maxillofacial Surgery, 42(7), pp. 801-806. (doi: 10.1016/j.ijom.2013.01.015)

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Publisher's URL: http://dx.doi.org/10.1016/j.ijom.2013.01.015

Abstract

he motivation for orthognathic surgery is to improve facial appearance and quality of life. This study aimed to validate a three-dimensional (3D) orthognathic planning programme (Maxilim) for predicting soft tissue changes following Le Fort I advancements. Cone beam computed tomography (CBCT) scans were taken before surgery (T<sub>1</sub>) and at 6–12 months after surgery (T<sub>2</sub>) for 13 patients. For each patient the 3D hard tissue changes between T<sub>1</sub> and T<sub>2</sub> were determined by CBCT superimposition on the cranial vault. Using Maxilim, each patient's skeletal movements were used to generate a 3D soft tissue prediction. The actual soft tissue mesh at T<sub>2</sub> was compared to the predicted mesh. The face was divided into areas: nose, right and left nares, right and left paranasal regions, upper and lower lip, and chin. The absolute distance between meshes for each region was calculated. A one-sample t-test showed the distances between the meshes for all of the areas were within 3 mm (P < 0.05), except for the upper lip which was greater than 3 mm (P = 0.577). Using Maxilim, 3D soft tissue predictions for Le Fort I advancements were clinically satisfactory in the regions assessed, but associated with marked errors around the region of the upper lip.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Ayoub, Professor Ashraf and Ju, Dr Xiangyang and Khambay, Dr Balvinder
Authors: Shafi, M.I., Ayoub, A., Ju, X., and Khambay, B.S.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Dental School
Journal Name:International Journal of Oral and Maxillofacial Surgery
Publisher:Elsevier
ISSN:0901-5027
ISSN (Online):1399-0020
Published Online:07 March 2013

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