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Three-Dimensional Cephalometric Analysis of Orbital Morphology Modification for Midface Correction Surgery

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Abstract

Objectives

The aim of this study was to create an evidence-based three-dimensional cephalometric analysis of orbits in order to perform time-efficient measurements of postoperative orbital morphology changes.

Materials and Methods

The authors used 23 (11 bilateral and 1 unilateral) anatomical landmarks. Based on these, 6 planes, 12 angular and 16 linear measurements were determined. A three dimensional analysis was performed twice by two observers on pre and post-operative computed tomography scans of six patients who had undergone midface advancement. The mean, minimal and maximal difference, as well as standard deviation (SD) and intraclass correlation coefficient (ICC) for the inter- and intra-observer landmark selection reliability were calculated. Additionally, the mean, minimal, maximal difference and standard deviation between pre- and post-operative angular and linear measurements were calculated to examine a connection between the established measurements and any morphological change.

Results

The inter and intra-examiner accuracy of all landmarks for three axes was >0.9 ICC. Despite excellent inter and intra-examiner agreement (<2.49 mm ± 2.05 mm SD) for the landmark selection, linear and angular measurements showed a mismatch, the mean SD for angular measurements was found to be 8.2° and the linear 3.04 mm.

Discussion

The possible causes of linear and angular measurement discrepancies are discussed and the future direction for the development of three-dimensional cephalometric analysis of orbits proposed.

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References

  1. Forte AJ, Alonso N, Persing JA, Pfaff MJ, Brooks ED, Steinbacher DM (2014) Analysis of midface retrusion in Crouzon and Apert syndromes. Plast Reconstr Surg 134:285–293

    Article  CAS  PubMed  Google Scholar 

  2. Forrest CR, Hopper RA (2013) Craniofacial syndromes and surgery. Plast Reconstr Surg 131:86e–109e

    Article  CAS  PubMed  Google Scholar 

  3. Chin M, Toth BA (1997) Le Fort III advancement with gradual distraction using internal devices. Plast Reconstr Surg 100:819–830

    Article  CAS  PubMed  Google Scholar 

  4. Posnick JC, Ruiz RL (2000) The craniofacial dysostosis syndromes: current surgical thinking and future directions. Cleft Palate Craniofac J 37:433

    Article  CAS  PubMed  Google Scholar 

  5. Gosain AK, Santoro TD, Havlik RJ, Cohen SR, Holmes RE (2002) Midface distraction following Le Fort III and monobloc osteotomies: problems and solutions. Plast Reconstr Surg 109:1797–1808

    Article  PubMed  Google Scholar 

  6. Nout E, van Bezooijen JS, Koudstaal MJ, Veenland JF, Hop WC, Wolvius EB, van der Wal KG (2012) Orbital change following Le Fort III advancement in syndromic craniosynostosis: quantitative evaluation of orbital volume, infra-orbital rim and globe position. J Craniomaxillofac Surg 40:223–228

    Article  PubMed  Google Scholar 

  7. Khonsari RH, Friess M, Nysjö J, Odri G, Malmberg F, Nyström I, Messo E, Hirsch JM, Cabanis EA, Kunzelmann KH, Salagnac JM, Corre P, Ohazama A, Sharpe PT, Charlier P, Olszewski R (2013) Shape and volume of craniofacial cavities in intentional skull deformations. Am J Phys Anthropol 151:110–119

    Article  CAS  PubMed  Google Scholar 

  8. Hoffman WY, McCarthy JG, Cutting CB, Zide BM (1990) Computerized tomographic analysis of orbital hypertelorism repair: spatial relationship of the globe and the bony orbit. Ann Plast Surg 25:124–131

    Article  CAS  PubMed  Google Scholar 

  9. Imai K, Fujimoto T, Takahashi M, Maruyama Y, Yamaguchi K (2013) Preoperative and postoperative orbital volume in patients with Crouzon and Apert syndrome. J Craniofac Surg 24:191–194

    Article  PubMed  Google Scholar 

  10. Kwon J, Barrera JE, Jung TY, Most SP (2009) Measurements of orbital volume change using computed tomography in isolated orbital blowout fractures. Arch Facial Plast Surg 11:395–398

    Article  PubMed  Google Scholar 

  11. Lukats O, Vízkelety T, Markella Z, Maka E, Kiss M, Dobai A, Bujtár P, Szucs A, Barabas J (2012) Measurement of orbital volume after enucleation and orbital implantation. PLoS One 7:e50333

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Smektała T, Jędrzejewski M, Szyndel J, Sporniak-Tutak K, Olszewski R (2014) Experimental and clinical assessment of three-dimensional cephalometry: a systematic review. J Craniomaxillofac Surg 42(8):1795–1801

    Article  PubMed  Google Scholar 

  13. Shahidi Sh, Oshagh M, Gozin F, Salehi P, Danaei SM (2013) Accuracy of computerized automatic identification of cephalometric landmarks by a designed software. Dentomaxillofac Radiol 42(1):20110187

    Article  PubMed  PubMed Central  Google Scholar 

  14. Vucinić P, Trpovski Z, Sćepan I (2010) Automatic landmarking of cephalograms using active appearance models. Eur J Orthod 32:233–241

    Article  PubMed  Google Scholar 

  15. Silveira HL, Silveira HE, Dalla-Bona RR, Abdala DD, Bertoldi RF, von Wangenheim A (2009) Software system for calibrating examiners in cephalometric point identification. Am J Orthod Dentofacial Orthop 135:400–405

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Maxillofacial Surgery, Pomeranian Medical University, Powstańców Wlkp. 72, 70-111, Szczecin, Poland

    Tomasz Smektala & Katarzyna Sporniak-Tutak

  2. Oral and Maxillofacial Surgery Research Lab (OMFS/CHEX/IREC/SSS/UCL, Head: Pr Olszewski R, PhD), Department of Oral and Maxillofacial Surgery, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium

    Tomasz Smektala, Marcin Jędrzejewski & Raphael Olszewski

  3. Private Dental Practice, Aesthetic Dent, Szczecin, Poland

    Tomasz Smektala, Katarzyna Sporniak-Tutak & Marcin Tutak

  4. Department of Radiology and Diagnostic Imaging, Voivodeship Specialized Hospital, Szczecin, Poland

    Ewelina Staniszewska

  5. Department of Radiology and Diagnostic Imaging, Dr Antoni Jurasz University Hospital No. 1, Bydgoszcz, Poland

    Agata Sławińska

  6. Department of Dental Surgery, Pomeranian Medical University, Szczecin, Poland

    Marcin Jędrzejewski

  7. Department of Prosthodontics, Pomeranian Medical University, Szczecin, Poland

    Małgorzata Chrusciel-Nogalska

Authors
  1. Tomasz Smektala
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  2. Ewelina Staniszewska
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  3. Agata Sławińska
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  4. Katarzyna Sporniak-Tutak
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  5. Marcin Tutak
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  6. Marcin Jędrzejewski
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  7. Małgorzata Chrusciel-Nogalska
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  8. Raphael Olszewski
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Corresponding author

Correspondence to Tomasz Smektala.

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Ethical Approval

This article does not contain any studies with animals performed by any of the authors. All procedures performed in study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Local ethics committee number 27/2013/V.

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Informed consent was obtained from all individual participants included in the study.

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Smektala, T., Staniszewska, E., Sławińska, A. et al. Three-Dimensional Cephalometric Analysis of Orbital Morphology Modification for Midface Correction Surgery. J. Maxillofac. Oral Surg. 15, 285–292 (2016). https://doi.org/10.1007/s12663-015-0837-7

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  • DOI: https://doi.org/10.1007/s12663-015-0837-7

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