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@article{1456936, author = {Vittert, Liberty and Katina, Stanislav and Ayoub, Ashraf and Khambay, Balvinder and Bowman, Adrian}, article_number = {12}, doi = {http://dx.doi.org/10.1016/j.ijom.2018.05.024}, keywords = {orthognathic surgery; facial shape; comparison with controls; asymmetry}, language = {eng}, issn = {0901-5027}, journal = {International Journal of Oral and Maxillofacial Surgery}, title = {Assessing the outcome of orthognathic surgery by three-dimensional soft tissue analysis}, url = {http://dx.doi.org/10.1016/j.ijom.2018.05.024}, volume = {47}, year = {2018} }
TY - JOUR ID - 1456936 AU - Vittert, Liberty - Katina, Stanislav - Ayoub, Ashraf - Khambay, Balvinder - Bowman, Adrian PY - 2018 TI - Assessing the outcome of orthognathic surgery by three-dimensional soft tissue analysis JF - International Journal of Oral and Maxillofacial Surgery VL - 47 IS - 12 SP - 1587-1595 EP - 1587-1595 PB - Elsevier SN - 09015027 KW - orthognathic surgery KW - facial shape KW - comparison with controls KW - asymmetry UR - http://dx.doi.org/10.1016/j.ijom.2018.05.024 N2 - Studies of orthognathic surgery often focus on pre-surgical versus post-surgical changes in facial shape. In contrast, this study provides an innovative comparison between post-surgical and control shape. Forty orthognathic surgery patients were included, who underwent three different types of surgical correction: Le Fort I maxillary advancement, bilateral sagittal split mandibular advancement, and bimaxillary advancement surgery. Control facial images were captured from volunteers from local communities in Glasgow, with patterns of age, sex, and ethnic background that matched those of the surgical patients. Facial models were fitted and Procrustes registration and principal components analysis used to allow quantitative analysis, including the comparison of group mean shape and mean asymmetry. The primary characteristic of the difference in shape was found to be residual mandibular prognathism in the group of female patients who underwent Le Fort I maxillary advancement. Individual cases were assessed against this type of shape difference, using a quantitative scale to aid clinical audit. Analysis of the combined surgical groups provided strong evidence that surgery reduces asymmetry in some parts of the face such as the upper lip region. No evidence was found that mean asymmetry in post-surgical patients is greater than that in controls. ER -
VITTERT, Liberty, Stanislav KATINA, Ashraf AYOUB, Balvinder KHAMBAY and Adrian BOWMAN. Assessing the outcome of orthognathic surgery by three-dimensional soft tissue analysis. \textit{International Journal of Oral and Maxillofacial Surgery}. Elsevier, 2018, vol.~47, No~12, p.~1587-1595. ISSN~0901-5027. Available from: https://dx.doi.org/10.1016/j.ijom.2018.05.024.
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