Pub Date : 2024-02-09DOI: 10.1177/27325016241229734
John (Johan) Han Lee, Christian J. Vercler
While objectification in medicine has been extensively critiqued as a philosophical concept dating back to the Ancient Greeks and contemporarily popularized by Michel Foucault, the impact of objectification through clinical photography in plastic surgery is often overlooked. Plastic surgery patients are by necessity subjected to the clinical gaze through clinical photography, which may lead to experiences of dehumanization and alienation from their physicians and surgeons. In this essay, we explore the concept of the clinical gaze in clinical photography from a structured philosophical lens, and offer one potential answer to this problem. First, we draw upon Foucault’s well-known and monumental critique of contemporary Western medical practice from Birth of the Clinic alongside a brief history of clinical photography to illustrate the problem of the “clinical gaze.” Then, we argue that mitigating the clinical gaze is critical for the flourishing of patients in general and plastic surgery patients in particular. Finally, we offer our attempt to mitigate the clinical gaze that was conducted by the Craniofacial Anomalies Program at the University of Michigan in 2014 as a demonstration of an upending of the power dynamic usually at play.
{"title":"Foucault and Clinical Photography: An Analysis and Mitigation of the Clinical Gaze in Pediatric Craniofacial Plastic Surgery","authors":"John (Johan) Han Lee, Christian J. Vercler","doi":"10.1177/27325016241229734","DOIUrl":"https://doi.org/10.1177/27325016241229734","url":null,"abstract":"While objectification in medicine has been extensively critiqued as a philosophical concept dating back to the Ancient Greeks and contemporarily popularized by Michel Foucault, the impact of objectification through clinical photography in plastic surgery is often overlooked. Plastic surgery patients are by necessity subjected to the clinical gaze through clinical photography, which may lead to experiences of dehumanization and alienation from their physicians and surgeons. In this essay, we explore the concept of the clinical gaze in clinical photography from a structured philosophical lens, and offer one potential answer to this problem. First, we draw upon Foucault’s well-known and monumental critique of contemporary Western medical practice from Birth of the Clinic alongside a brief history of clinical photography to illustrate the problem of the “clinical gaze.” Then, we argue that mitigating the clinical gaze is critical for the flourishing of patients in general and plastic surgery patients in particular. Finally, we offer our attempt to mitigate the clinical gaze that was conducted by the Craniofacial Anomalies Program at the University of Michigan in 2014 as a demonstration of an upending of the power dynamic usually at play.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"125 9-10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-09DOI: 10.1177/27325016241229916
Radislav Meylikh, Joshua Gersten, Yuriy Yusupov
Needle separation is an unfortunate complication encountered during local anesthetic administration in dentistry. Attributing factors have been thought to be related to needle gauge, pre-injection needle bending, needle deflection, redirection, and depth of penetration. Various methods have been described for FB identification and retrieval. We present a case of a separated hypodermic needle in the infratemporal fossa after a posterior superior alveolar (PSA) nerve block. We describe the use of computed tomography (CT) navigation system with an expanded armamentarium of guided instrumentation. Utilization of our method can efficiently aid in the localization and removal of foreign bodies in the maxillofacial region.
{"title":"Considering Anatomic Features When Retrieving a Separated Needle: A Case Report Using CT Navigation Within the Infratemporal Fossa","authors":"Radislav Meylikh, Joshua Gersten, Yuriy Yusupov","doi":"10.1177/27325016241229916","DOIUrl":"https://doi.org/10.1177/27325016241229916","url":null,"abstract":"Needle separation is an unfortunate complication encountered during local anesthetic administration in dentistry. Attributing factors have been thought to be related to needle gauge, pre-injection needle bending, needle deflection, redirection, and depth of penetration. Various methods have been described for FB identification and retrieval. We present a case of a separated hypodermic needle in the infratemporal fossa after a posterior superior alveolar (PSA) nerve block. We describe the use of computed tomography (CT) navigation system with an expanded armamentarium of guided instrumentation. Utilization of our method can efficiently aid in the localization and removal of foreign bodies in the maxillofacial region.","PeriodicalId":508736,"journal":{"name":"FACE","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139787790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-09DOI: 10.1177/27325016241229916
Radislav Meylikh, Joshua Gersten, Yuriy Yusupov
Needle separation is an unfortunate complication encountered during local anesthetic administration in dentistry. Attributing factors have been thought to be related to needle gauge, pre-injection needle bending, needle deflection, redirection, and depth of penetration. Various methods have been described for FB identification and retrieval. We present a case of a separated hypodermic needle in the infratemporal fossa after a posterior superior alveolar (PSA) nerve block. We describe the use of computed tomography (CT) navigation system with an expanded armamentarium of guided instrumentation. Utilization of our method can efficiently aid in the localization and removal of foreign bodies in the maxillofacial region.
{"title":"Considering Anatomic Features When Retrieving a Separated Needle: A Case Report Using CT Navigation Within the Infratemporal Fossa","authors":"Radislav Meylikh, Joshua Gersten, Yuriy Yusupov","doi":"10.1177/27325016241229916","DOIUrl":"https://doi.org/10.1177/27325016241229916","url":null,"abstract":"Needle separation is an unfortunate complication encountered during local anesthetic administration in dentistry. Attributing factors have been thought to be related to needle gauge, pre-injection needle bending, needle deflection, redirection, and depth of penetration. Various methods have been described for FB identification and retrieval. We present a case of a separated hypodermic needle in the infratemporal fossa after a posterior superior alveolar (PSA) nerve block. We describe the use of computed tomography (CT) navigation system with an expanded armamentarium of guided instrumentation. Utilization of our method can efficiently aid in the localization and removal of foreign bodies in the maxillofacial region.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"8 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139847581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-09DOI: 10.1177/27325016241229734
John (Johan) Han Lee, Christian J. Vercler
While objectification in medicine has been extensively critiqued as a philosophical concept dating back to the Ancient Greeks and contemporarily popularized by Michel Foucault, the impact of objectification through clinical photography in plastic surgery is often overlooked. Plastic surgery patients are by necessity subjected to the clinical gaze through clinical photography, which may lead to experiences of dehumanization and alienation from their physicians and surgeons. In this essay, we explore the concept of the clinical gaze in clinical photography from a structured philosophical lens, and offer one potential answer to this problem. First, we draw upon Foucault’s well-known and monumental critique of contemporary Western medical practice from Birth of the Clinic alongside a brief history of clinical photography to illustrate the problem of the “clinical gaze.” Then, we argue that mitigating the clinical gaze is critical for the flourishing of patients in general and plastic surgery patients in particular. Finally, we offer our attempt to mitigate the clinical gaze that was conducted by the Craniofacial Anomalies Program at the University of Michigan in 2014 as a demonstration of an upending of the power dynamic usually at play.
{"title":"Foucault and Clinical Photography: An Analysis and Mitigation of the Clinical Gaze in Pediatric Craniofacial Plastic Surgery","authors":"John (Johan) Han Lee, Christian J. Vercler","doi":"10.1177/27325016241229734","DOIUrl":"https://doi.org/10.1177/27325016241229734","url":null,"abstract":"While objectification in medicine has been extensively critiqued as a philosophical concept dating back to the Ancient Greeks and contemporarily popularized by Michel Foucault, the impact of objectification through clinical photography in plastic surgery is often overlooked. Plastic surgery patients are by necessity subjected to the clinical gaze through clinical photography, which may lead to experiences of dehumanization and alienation from their physicians and surgeons. In this essay, we explore the concept of the clinical gaze in clinical photography from a structured philosophical lens, and offer one potential answer to this problem. First, we draw upon Foucault’s well-known and monumental critique of contemporary Western medical practice from Birth of the Clinic alongside a brief history of clinical photography to illustrate the problem of the “clinical gaze.” Then, we argue that mitigating the clinical gaze is critical for the flourishing of patients in general and plastic surgery patients in particular. Finally, we offer our attempt to mitigate the clinical gaze that was conducted by the Craniofacial Anomalies Program at the University of Michigan in 2014 as a demonstration of an upending of the power dynamic usually at play.","PeriodicalId":508736,"journal":{"name":"FACE","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-08DOI: 10.1177/27325016241230671
Brandon E. Alba, Kelly A. Harmon, Okensama M. La-Anyane, Christina Tragos
Pneumosinus dilatans (PD) is a rare clinical entity involving expansion of the paranasal sinuses. While the pathogenesis of PD is not fully understood, the prevailing theory involves a “ball-valve” mechanism in which obstruction of sinus outflow leads to progressive air cell expansion. Typically, the progression of PD can be halted with endoscopic sinus surgery to relieve any outflow obstruction. In this report, the authors present a case of a patient with progressive expansion of the frontal sinus refractory to endoscopic sinus surgery. The patient ultimately required excision of the anterior table of the frontal sinus and reconstruction with a custom polyetheretherketone implant. This case highlights the variability of PD presentation and how treatment and reconstruction must be tailored to each patient’s unique presentation.
{"title":"Persistent Pneumosinus Dilatans Refractory to Endoscopic Frontal Sinus Surgery: A Case Report","authors":"Brandon E. Alba, Kelly A. Harmon, Okensama M. La-Anyane, Christina Tragos","doi":"10.1177/27325016241230671","DOIUrl":"https://doi.org/10.1177/27325016241230671","url":null,"abstract":"Pneumosinus dilatans (PD) is a rare clinical entity involving expansion of the paranasal sinuses. While the pathogenesis of PD is not fully understood, the prevailing theory involves a “ball-valve” mechanism in which obstruction of sinus outflow leads to progressive air cell expansion. Typically, the progression of PD can be halted with endoscopic sinus surgery to relieve any outflow obstruction. In this report, the authors present a case of a patient with progressive expansion of the frontal sinus refractory to endoscopic sinus surgery. The patient ultimately required excision of the anterior table of the frontal sinus and reconstruction with a custom polyetheretherketone implant. This case highlights the variability of PD presentation and how treatment and reconstruction must be tailored to each patient’s unique presentation.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"95 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139851239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-08DOI: 10.1177/27325016241230671
Brandon E. Alba, Kelly A. Harmon, Okensama M. La-Anyane, Christina Tragos
Pneumosinus dilatans (PD) is a rare clinical entity involving expansion of the paranasal sinuses. While the pathogenesis of PD is not fully understood, the prevailing theory involves a “ball-valve” mechanism in which obstruction of sinus outflow leads to progressive air cell expansion. Typically, the progression of PD can be halted with endoscopic sinus surgery to relieve any outflow obstruction. In this report, the authors present a case of a patient with progressive expansion of the frontal sinus refractory to endoscopic sinus surgery. The patient ultimately required excision of the anterior table of the frontal sinus and reconstruction with a custom polyetheretherketone implant. This case highlights the variability of PD presentation and how treatment and reconstruction must be tailored to each patient’s unique presentation.
{"title":"Persistent Pneumosinus Dilatans Refractory to Endoscopic Frontal Sinus Surgery: A Case Report","authors":"Brandon E. Alba, Kelly A. Harmon, Okensama M. La-Anyane, Christina Tragos","doi":"10.1177/27325016241230671","DOIUrl":"https://doi.org/10.1177/27325016241230671","url":null,"abstract":"Pneumosinus dilatans (PD) is a rare clinical entity involving expansion of the paranasal sinuses. While the pathogenesis of PD is not fully understood, the prevailing theory involves a “ball-valve” mechanism in which obstruction of sinus outflow leads to progressive air cell expansion. Typically, the progression of PD can be halted with endoscopic sinus surgery to relieve any outflow obstruction. In this report, the authors present a case of a patient with progressive expansion of the frontal sinus refractory to endoscopic sinus surgery. The patient ultimately required excision of the anterior table of the frontal sinus and reconstruction with a custom polyetheretherketone implant. This case highlights the variability of PD presentation and how treatment and reconstruction must be tailored to each patient’s unique presentation.","PeriodicalId":508736,"journal":{"name":"FACE","volume":" 36","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139791175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-05DOI: 10.1177/27325016241227617
Lamvy T. Le, Vedant Borad, Mia M. Schubert, Naomi Quillopa, Ashish Y. Mahajan, Cherrie A. Heinrich, Ruth J. Barta, Warren Schubert
Title: The impact of participating in surgical trips to low income, low resource countries on professional development of plastic surgery trainees. Objective: Global health initiatives have increased in popularity in recent years, yet international surgical volunteerism remains controversial. Though many U.S. residencies incorporate global health initiatives, there is no standardization of the role that surgical volunteerism plays in resident education. Our goal was to evaluate the impact of surgical volunteerism on former plastic surgery trainees during and after residency. Methods: An electronic survey was distributed to 35 graduates of the plastic surgery residency program at the University of Minnesota between 1991 and 2019. The survey included 28 yes/no questions and free responses. The response rate was 100% (n = 35). Results: 34 of 35 former graduates (97.1%) participated in at least one international surgical trip during residency. All participants had exposure to cleft surgery, and 82.4% reported a predominance of cleft cases. 23.5% of graduates have continued to perform cleft surgery as part of their practice, and 47.1% have continued to embark on surgical trips post-residency. Participants reported that volunteering on international surgical trips have made them more adaptable in the operating room (91.2%), gave them a better understanding of the challenges of poverty (97.1%), and helped them to provide better care for marginalized patients in low resource settings (70.6%). One hundred percent of participants reported that international surgical trips were an important part of their residency training (n = 34). Conclusions: International surgical volunteer work can provide an invaluable experience during training, and they should be offered by plastic surgery residency programs. Supporting resident involvement in surgical trips can have long term ramifications in their careers and commitment to helping the underserved.
{"title":"The Impact of Participating in Surgical Trips to Low Income, Low Resource Countries on Professional Development of Plastic Surgery Trainees","authors":"Lamvy T. Le, Vedant Borad, Mia M. Schubert, Naomi Quillopa, Ashish Y. Mahajan, Cherrie A. Heinrich, Ruth J. Barta, Warren Schubert","doi":"10.1177/27325016241227617","DOIUrl":"https://doi.org/10.1177/27325016241227617","url":null,"abstract":"Title: The impact of participating in surgical trips to low income, low resource countries on professional development of plastic surgery trainees. Objective: Global health initiatives have increased in popularity in recent years, yet international surgical volunteerism remains controversial. Though many U.S. residencies incorporate global health initiatives, there is no standardization of the role that surgical volunteerism plays in resident education. Our goal was to evaluate the impact of surgical volunteerism on former plastic surgery trainees during and after residency. Methods: An electronic survey was distributed to 35 graduates of the plastic surgery residency program at the University of Minnesota between 1991 and 2019. The survey included 28 yes/no questions and free responses. The response rate was 100% (n = 35). Results: 34 of 35 former graduates (97.1%) participated in at least one international surgical trip during residency. All participants had exposure to cleft surgery, and 82.4% reported a predominance of cleft cases. 23.5% of graduates have continued to perform cleft surgery as part of their practice, and 47.1% have continued to embark on surgical trips post-residency. Participants reported that volunteering on international surgical trips have made them more adaptable in the operating room (91.2%), gave them a better understanding of the challenges of poverty (97.1%), and helped them to provide better care for marginalized patients in low resource settings (70.6%). One hundred percent of participants reported that international surgical trips were an important part of their residency training (n = 34). Conclusions: International surgical volunteer work can provide an invaluable experience during training, and they should be offered by plastic surgery residency programs. Supporting resident involvement in surgical trips can have long term ramifications in their careers and commitment to helping the underserved.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"91 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139865438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-05DOI: 10.1177/27325016241227617
Lamvy T. Le, Vedant Borad, Mia M. Schubert, Naomi Quillopa, Ashish Y. Mahajan, Cherrie A. Heinrich, Ruth J. Barta, Warren Schubert
Title: The impact of participating in surgical trips to low income, low resource countries on professional development of plastic surgery trainees. Objective: Global health initiatives have increased in popularity in recent years, yet international surgical volunteerism remains controversial. Though many U.S. residencies incorporate global health initiatives, there is no standardization of the role that surgical volunteerism plays in resident education. Our goal was to evaluate the impact of surgical volunteerism on former plastic surgery trainees during and after residency. Methods: An electronic survey was distributed to 35 graduates of the plastic surgery residency program at the University of Minnesota between 1991 and 2019. The survey included 28 yes/no questions and free responses. The response rate was 100% (n = 35). Results: 34 of 35 former graduates (97.1%) participated in at least one international surgical trip during residency. All participants had exposure to cleft surgery, and 82.4% reported a predominance of cleft cases. 23.5% of graduates have continued to perform cleft surgery as part of their practice, and 47.1% have continued to embark on surgical trips post-residency. Participants reported that volunteering on international surgical trips have made them more adaptable in the operating room (91.2%), gave them a better understanding of the challenges of poverty (97.1%), and helped them to provide better care for marginalized patients in low resource settings (70.6%). One hundred percent of participants reported that international surgical trips were an important part of their residency training (n = 34). Conclusions: International surgical volunteer work can provide an invaluable experience during training, and they should be offered by plastic surgery residency programs. Supporting resident involvement in surgical trips can have long term ramifications in their careers and commitment to helping the underserved.
{"title":"The Impact of Participating in Surgical Trips to Low Income, Low Resource Countries on Professional Development of Plastic Surgery Trainees","authors":"Lamvy T. Le, Vedant Borad, Mia M. Schubert, Naomi Quillopa, Ashish Y. Mahajan, Cherrie A. Heinrich, Ruth J. Barta, Warren Schubert","doi":"10.1177/27325016241227617","DOIUrl":"https://doi.org/10.1177/27325016241227617","url":null,"abstract":"Title: The impact of participating in surgical trips to low income, low resource countries on professional development of plastic surgery trainees. Objective: Global health initiatives have increased in popularity in recent years, yet international surgical volunteerism remains controversial. Though many U.S. residencies incorporate global health initiatives, there is no standardization of the role that surgical volunteerism plays in resident education. Our goal was to evaluate the impact of surgical volunteerism on former plastic surgery trainees during and after residency. Methods: An electronic survey was distributed to 35 graduates of the plastic surgery residency program at the University of Minnesota between 1991 and 2019. The survey included 28 yes/no questions and free responses. The response rate was 100% (n = 35). Results: 34 of 35 former graduates (97.1%) participated in at least one international surgical trip during residency. All participants had exposure to cleft surgery, and 82.4% reported a predominance of cleft cases. 23.5% of graduates have continued to perform cleft surgery as part of their practice, and 47.1% have continued to embark on surgical trips post-residency. Participants reported that volunteering on international surgical trips have made them more adaptable in the operating room (91.2%), gave them a better understanding of the challenges of poverty (97.1%), and helped them to provide better care for marginalized patients in low resource settings (70.6%). One hundred percent of participants reported that international surgical trips were an important part of their residency training (n = 34). Conclusions: International surgical volunteer work can provide an invaluable experience during training, and they should be offered by plastic surgery residency programs. Supporting resident involvement in surgical trips can have long term ramifications in their careers and commitment to helping the underserved.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139806006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-05DOI: 10.1177/27325016241229218
Vernucci Roberto Antonio, Valentini Leda Miriam, De Stefano Adriana, Di Giorgio Roberto, Galluccio Gabriella
Objective:To test the validity of lateral pre-treatment and pre-surgical VTO, by comparing them with the post-treatment lateral cephalometry. Methods: A total of 26 patients affected by Class III who underwent orthognathic surgery were evaluated. For all patients, pre-treatment (T0), pre-surgical (T1) and post-treatment (T2) cephalometric tracings, pre-treatment and pre-surgical VTO were performed. Nine measurements of hard tissues were considered. A comparison was made between pre-treatment and pre-surgical cephalometric measurements, post-treatment cephalometric tracing and pre-treatment VTO, post-treatment cephalometric tracing, and pre-surgical VTO. Descriptive and inferential statistics along with Bland-Altman plot were used to analyze the agreement between the outcome and the program. Results: From the comparison between pre-treatment and pre-surgical values, a statistically significant difference was found for the SNB angle ( P = .0292), the inclination of the upper ( P = .0309) and lower incisors ( P < .000) and the over-jet ( P < .000). The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement between over-bite and over-jet values. The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement with over-jet and IMPA angle. All parameters had high dispersion and the Bland-Altman plot appeared to be scattered. Conclusion: Given the bias and the imprecisions between the orthodontic-surgical program and the outcome, the indications given by 2-dimensional VTO should be used with caution.
{"title":"Predictability of the Orthodontic-Surgical Planning: A Comparative Study Between the Post-Operative Outcome and the Visual Treatment Objective","authors":"Vernucci Roberto Antonio, Valentini Leda Miriam, De Stefano Adriana, Di Giorgio Roberto, Galluccio Gabriella","doi":"10.1177/27325016241229218","DOIUrl":"https://doi.org/10.1177/27325016241229218","url":null,"abstract":"Objective:To test the validity of lateral pre-treatment and pre-surgical VTO, by comparing them with the post-treatment lateral cephalometry. Methods: A total of 26 patients affected by Class III who underwent orthognathic surgery were evaluated. For all patients, pre-treatment (T0), pre-surgical (T1) and post-treatment (T2) cephalometric tracings, pre-treatment and pre-surgical VTO were performed. Nine measurements of hard tissues were considered. A comparison was made between pre-treatment and pre-surgical cephalometric measurements, post-treatment cephalometric tracing and pre-treatment VTO, post-treatment cephalometric tracing, and pre-surgical VTO. Descriptive and inferential statistics along with Bland-Altman plot were used to analyze the agreement between the outcome and the program. Results: From the comparison between pre-treatment and pre-surgical values, a statistically significant difference was found for the SNB angle ( P = .0292), the inclination of the upper ( P = .0309) and lower incisors ( P < .000) and the over-jet ( P < .000). The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement between over-bite and over-jet values. The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement with over-jet and IMPA angle. All parameters had high dispersion and the Bland-Altman plot appeared to be scattered. Conclusion: Given the bias and the imprecisions between the orthodontic-surgical program and the outcome, the indications given by 2-dimensional VTO should be used with caution.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139864185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-05DOI: 10.1177/27325016241229218
Vernucci Roberto Antonio, Valentini Leda Miriam, De Stefano Adriana, Di Giorgio Roberto, Galluccio Gabriella
Objective:To test the validity of lateral pre-treatment and pre-surgical VTO, by comparing them with the post-treatment lateral cephalometry. Methods: A total of 26 patients affected by Class III who underwent orthognathic surgery were evaluated. For all patients, pre-treatment (T0), pre-surgical (T1) and post-treatment (T2) cephalometric tracings, pre-treatment and pre-surgical VTO were performed. Nine measurements of hard tissues were considered. A comparison was made between pre-treatment and pre-surgical cephalometric measurements, post-treatment cephalometric tracing and pre-treatment VTO, post-treatment cephalometric tracing, and pre-surgical VTO. Descriptive and inferential statistics along with Bland-Altman plot were used to analyze the agreement between the outcome and the program. Results: From the comparison between pre-treatment and pre-surgical values, a statistically significant difference was found for the SNB angle ( P = .0292), the inclination of the upper ( P = .0309) and lower incisors ( P < .000) and the over-jet ( P < .000). The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement between over-bite and over-jet values. The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement with over-jet and IMPA angle. All parameters had high dispersion and the Bland-Altman plot appeared to be scattered. Conclusion: Given the bias and the imprecisions between the orthodontic-surgical program and the outcome, the indications given by 2-dimensional VTO should be used with caution.
{"title":"Predictability of the Orthodontic-Surgical Planning: A Comparative Study Between the Post-Operative Outcome and the Visual Treatment Objective","authors":"Vernucci Roberto Antonio, Valentini Leda Miriam, De Stefano Adriana, Di Giorgio Roberto, Galluccio Gabriella","doi":"10.1177/27325016241229218","DOIUrl":"https://doi.org/10.1177/27325016241229218","url":null,"abstract":"Objective:To test the validity of lateral pre-treatment and pre-surgical VTO, by comparing them with the post-treatment lateral cephalometry. Methods: A total of 26 patients affected by Class III who underwent orthognathic surgery were evaluated. For all patients, pre-treatment (T0), pre-surgical (T1) and post-treatment (T2) cephalometric tracings, pre-treatment and pre-surgical VTO were performed. Nine measurements of hard tissues were considered. A comparison was made between pre-treatment and pre-surgical cephalometric measurements, post-treatment cephalometric tracing and pre-treatment VTO, post-treatment cephalometric tracing, and pre-surgical VTO. Descriptive and inferential statistics along with Bland-Altman plot were used to analyze the agreement between the outcome and the program. Results: From the comparison between pre-treatment and pre-surgical values, a statistically significant difference was found for the SNB angle ( P = .0292), the inclination of the upper ( P = .0309) and lower incisors ( P < .000) and the over-jet ( P < .000). The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement between over-bite and over-jet values. The comparison between the post-treatment cephalometry (T2) and pre-treatment VTO (T0) highlighted good agreement with over-jet and IMPA angle. All parameters had high dispersion and the Bland-Altman plot appeared to be scattered. Conclusion: Given the bias and the imprecisions between the orthodontic-surgical program and the outcome, the indications given by 2-dimensional VTO should be used with caution.","PeriodicalId":508736,"journal":{"name":"FACE","volume":"16 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139804585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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