[Show abstract][Hide abstract] ABSTRACT: The aims of this retrospective study were to assess the subjective accuracy of predictions generated by a computer imaging software in Chinese patients who had undergone orthognathic surgery and to determine the influence of initial dysgnathia and complexity of the surgical procedure on prediction accuracy.
The sample consisted of 40 Chinese patients who had completed treatment involving orthodontics and orthognathic surgery. All the patients had lateral cephalometric radiographs and profile photographs taken within 3 months before surgery and at least 6 months after surgery. The computer-generated predicted images and the actual post-treatment images were displayed simultaneously to a panel of orthodontists, oral maxillofacial surgeons and laypersons to allow side-by-side comparison. The panel was asked to determine which image was more esthetic and to rate the likeness between the actual and predicted images using a 10 cm visual analog scale.
The results showed that the actual image was judged to be more esthetic in 82% of the cases, with the orthodontists more likely to select the actual profile compared to laypersons (P = .005). Orthodontists and surgeons rated the likeness of the images similarly while laypersons rated the likeness significantly lower than the clinicians (P = .012 and P = .015, respectively). Skeletal III cases were judged to be less accurately predicted than skeletal II cases by laypersons (P = .006) and orthodontists (P = .036). Cases treated by single-jaw osteotomy were given better ratings compared to cases with bimaxillary osteotomy by all panel groups but the differences did not reach significant level.
Skeletal III cases managed by bimaxillary osteotomy were least accurately predicted by the computer program. As there exists a possibility that the predicted image may be judged to be more esthetic than the actual image, clinicians must make extra effort to manage patient expectations when using computer simulations for patient education.
No preview · Article · Mar 2008 · Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons
[Show abstract][Hide abstract] ABSTRACT: The aim of this study was to evaluate the accuracy of soft tissue profile predictions generated by a recently developed computer program (Computer-Assisted Simulation System for Orthognathic Surgery [CASSOS] 2001, SoftEnable Technology, Ltd, Hong Kong) in Chinese skeletal Class III patients treated with bimaxillary surgery. MATERIALS and
Presurgical and posttreatment lateral cephalograms of 35 Chinese patients who had combined 1-piece Le Fort I and bilateral sagittal split osteotomies were digitized using the CASSOS 2001 program, and a cranial base superimposition was performed. The hard tissue movements were simulated on the presurgical cephalogram until good superimposition of the hard tissues on the presurgical and posttreatment cephalograms was achieved. A customized cephalometric analysis consisting of 32 linear measurements was used to analyze the differences in the soft tissue profile between the actual posttreatment results and the computer-generated predictions.
Comparison of the predicted and actual changes found that 16 of the 32 soft tissue measurements were significantly different ( P <.05). Most of the significant prediction errors were observed in the upper and lower lip region. The software tended to underestimate the vertical position of both the upper and lower lip and overestimate the horizontal position of the lower lip. However, the mean differences were relatively small, with the greatest mean difference being 2 mm in the vertical position of stomium inferius. The CASSOS 2001 program produced a clinically useful prediction of soft tissue profile changes following bimaxillary surgery in skeletal Class III Chinese patients.
No preview · Article · Jan 2005 · Journal of Oral and Maxillofacial Surgery