Automated 3D Craniofacial Cephalometry in Orthognathic Surgery: A Preliminary Evaluation.

IF 2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2025-08-24 DOI:10.1016/j.jormas.2025.102537

Astrid Aisenfarb, Arlette Oueiss, Jacques Treil, Emmanuel Chammorey, Charles Savoldelli

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引用次数: 0

Abstract

Objective: This study aims to evaluate the efficiency and accuracy of an automated three-dimensional (3D) cephalometric software in diagnosing dento-skeletal dysmorphoses and its concordance with standard clinical diagnosis used in orthognathic surgery.

Methods: A retrospective study was conducted at the Department of Otorhinolaryngology and Maxillofacial Surgery of the University Hospital of Nice. Fourteen patients who underwent bimaxillary surgery were included in this analysis. Standardized cephalometric and clinical diagnoses were compared with automated software-generated diagnoses. The statistical agreement between the two approaches was analyzed to assess the reliability of the software.

Results: The software demonstrated a great agreement with our standardized diagnosis and a high reproducibility rate for skeletal measurements. However, it displayed discrepancies in specific parameters, particularly in soft tissue assessments (lack of measurements) and occlusal characteristics.

Conclusion: Automated 3D cephalometry has significant potential as a diagnostic tool in orthognathic surgery. However, refinements are required to improve its accuracy, particularly in soft tissue assessment and occlusal analyses, before it can be fully integrated into routine clinical practice.

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自动3D颅面测量在正颌手术中的应用：初步评估。

目的：本研究旨在评估一种自动三维头颅测量软件诊断牙骨畸形的效率和准确性，以及其与正颌外科标准临床诊断的一致性。方法：在尼斯大学医院耳鼻咽喉颌面外科进行回顾性研究。本分析包括14例接受双颌手术的患者。将标准化的头颅测量和临床诊断与自动化软件生成的诊断进行比较。分析了两种方法之间的统计一致性，以评估软件的可靠性。结果：该软件与我们的标准化诊断和骨骼测量的高再现率显示了很大的一致性。然而，它显示了具体参数的差异，特别是在软组织评估（缺乏测量）和咬合特征。结论：自动3D头测术在正颌手术中具有重要的诊断潜力。然而，在完全融入常规临床实践之前，需要改进以提高其准确性，特别是在软组织评估和咬合分析方面。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.