{"title":"Zygomatic Osteotomy surgery design software based on skull CT scans - Self-supervised algo reduces workload.","authors":"Xiaohui Qiu, Chi Zhong, Qiuyang Chen, Yingchao Zhao, Tong Yang, Jianda Zhou, Shenghui Liao, Jing Chen","doi":"10.1016/j.jcms.2025.01.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The morphology of the zygomatic complex significantly influences facial appearance, leading to a focus on zygomatic osteotomy. The current technique, the \"L-shaped\" zygomatic osteotomy, requires a small incision and preoperative osteotomy design for an osteotomy guide. However, the use of multiple software programs in the design process makes it time-consuming and clinically challenging.</p><p><strong>Method: </strong>Artificial intelligence technology offers a solution by integrating digital medical technology into medicine. AI algorithms were developed based on point cloud models, using 2000 cases of three-dimensional CT data for training. Eighty CT data sets were randomly chosen for both AI and manual skull segmentation designs. The effectiveness, symmetry, safety, and aesthetic outcomes were compared.</p><p><strong>Result: </strong>The AI zygomatic osteotomy showed superior performance in symmetry and aesthetics compared to manual zygomatic osteotomy. The complex structure of the zygomatic arch highlights the advantages of AI-driven osteotomy design, especially in intricate cases. Additionally, the AI osteotomy scheme demonstrated no compromise in safety indicators compared to the manual approach.</p><p><strong>Conclusion: </strong>AI zygomatic osteotomy proves to be a safe and effective alternative to manual zygomatic osteotomy, showcasing enhanced symmetry and aesthetic outcomes. The efficiency and precision of AI-driven design in complex zygomatic osteotomies make it a promising advancement in this field.</p>","PeriodicalId":54851,"journal":{"name":"Journal of Cranio-Maxillofacial Surgery","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Cranio-Maxillofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jcms.2025.01.014","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The morphology of the zygomatic complex significantly influences facial appearance, leading to a focus on zygomatic osteotomy. The current technique, the "L-shaped" zygomatic osteotomy, requires a small incision and preoperative osteotomy design for an osteotomy guide. However, the use of multiple software programs in the design process makes it time-consuming and clinically challenging.
Method: Artificial intelligence technology offers a solution by integrating digital medical technology into medicine. AI algorithms were developed based on point cloud models, using 2000 cases of three-dimensional CT data for training. Eighty CT data sets were randomly chosen for both AI and manual skull segmentation designs. The effectiveness, symmetry, safety, and aesthetic outcomes were compared.
Result: The AI zygomatic osteotomy showed superior performance in symmetry and aesthetics compared to manual zygomatic osteotomy. The complex structure of the zygomatic arch highlights the advantages of AI-driven osteotomy design, especially in intricate cases. Additionally, the AI osteotomy scheme demonstrated no compromise in safety indicators compared to the manual approach.
Conclusion: AI zygomatic osteotomy proves to be a safe and effective alternative to manual zygomatic osteotomy, showcasing enhanced symmetry and aesthetic outcomes. The efficiency and precision of AI-driven design in complex zygomatic osteotomies make it a promising advancement in this field.
期刊介绍:
The Journal of Cranio-Maxillofacial Surgery publishes articles covering all aspects of surgery of the head, face and jaw. Specific topics covered recently have included:
• Distraction osteogenesis
• Synthetic bone substitutes
• Fibroblast growth factors
• Fetal wound healing
• Skull base surgery
• Computer-assisted surgery
• Vascularized bone grafts