Reproducibility of Computerized Cephalometric Analysis Software Compared with Conventional Manual Tracing for Analyzing Skeletal Stability After Orthognathic Surgery.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Maxillofacial & Oral Surgery Pub Date : 2023-12-01 Epub Date: 2023-11-26 DOI:10.1007/s12663-023-02071-7
Phu Hnin Thet, Boosana Kaboosaya
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Abstract

Objective: This study aimed to compare the difference between analyzing skeletal stability after orthognathic surgery by lateral cephalogram measurement created from Dolphin software (version 11.95) compared with the manual technique.

Methods: Twenty-eight patients who underwent mandibular setback surgery (BSSRO) were randomly selected between 2015 and 2021. Serial lateral cephalograms were analyzed at four different time sets postoperatively, and a total of 112 cephalometric radiographs were obtained. Horizontal measurement (BX), vertical measurement (BY), and 3 angular measurements (SNB, ANB, and Gonial angle) were analyzed by manual tracing and Dolphin software by 2 examiners. The intraclass correlation coefficient determined the intra-rater reliability. Parameter differences between timelines were observed for skeletal stability, and mean values between methods were compared using the Student's t-test.

Results: Both examiners were generally consistent in the repeated measurements (ICCs of the manual method ranged from 0.926 to 0.994, and the digital method ranged from 0.719 to 0.956). All variables represented skeletal stability at T0-T1, T0-T2, and T0-T3 showed no statistically significant differences between methods except ANB (T0-T1; p value = 0.009).

Conclusions: Computerized cephalometric analysis software is relatively reproducible for assessing skeletal changes after orthognathic surgery and can be used routinely in follow-up.

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在分析正颌外科手术后骨骼稳定性方面,计算机化头颅测量分析软件与传统手动描记法的再现性比较。
研究目的本研究旨在比较通过Dolphin软件(11.95版)创建的侧向头影测量分析正颌手术后骨骼稳定性与人工技术的差异:随机选取2015年至2021年期间接受下颌后缩手术(BSSRO)的28名患者。对术后四个不同时间段的连续头颅侧位片进行分析,共获得 112 张头颅X光片。水平测量(BX)、垂直测量(BY)和 3 个角度测量(SNB、ANB 和 Gonial 角)由 2 名检查员通过手动描记和 Dolphin 软件进行分析。类内相关系数确定了评分者内部的可靠性。在骨骼稳定性方面,观察了不同时间段的参数差异,并使用学生 t 检验比较了不同方法的平均值:结果:两位检查者在重复测量中的表现基本一致(人工方法的 ICC 为 0.926 至 0.994,数字方法的 ICC 为 0.719 至 0.956)。除了 ANB(T0-T1;P 值 = 0.009)外,T0-T1、T0-T2 和 T0-T3 时代表骨骼稳定性的所有变量在统计学上没有显著差异:结论:计算机头颅测量分析软件在评估正颌手术后的骨骼变化方面具有较高的可重复性,可在随访中常规使用。
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来源期刊
Journal of Maxillofacial & Oral Surgery
Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.90
自引率
0.00%
发文量
138
期刊介绍: This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. 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 Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.
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