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Normal range of facial asymmetry in spherical coordinates : a CBCT study
Suk-Ja Yoon,Rui-Feng Wang,Hee Ja Na,Juan Martin Palomo 대한구강악안면방사선학회 2013 Imaging Science in Dentistry Vol.43 No.1
Purpose: This study aimed to measure the bilateral differences of facial lines in spherical coordinates from faces within a normal range of asymmetry utilizing cone-beam computed tomography (CBCT). Materials and Methods: CBCT scans from 22 females with normal symmetric-looking faces (mean age 24 years and 8 months) were selected for the study. The average menton deviation was 1.01±0.66 mm. The spherical coordinates, length, and midsagittal and coronal inclination angles of the ramal and mandibular lines were calculated from CBCT. The bilateral differences in the facial lines were determined. Results: All of the study subjects had minimal bilateral differences of facial lines. The normal range of facial asymmetry of the ramal and mandibular lines was obtained in spherical coordinates. Conclusion: The normal range of facial asymmetry in the spherical coordinate system in this study should be useful as a reference for diagnosing facial asymmetry.
Suk-Ja Yoon,Rui-Feng Wang,Hyeon-Shik Hwang,Byung-Cheol Kang,Jae-Seo Lee,Juan Martin Palomo 대한구강악안면방사선학회 2011 Imaging Science in Dentistry Vol.41 No.3
Purpose The purpose of this study was to compare asymmetric mandibular prognathism individuals with symmetric mandibular prognathism individuals using a new alternate spherical coordinate system. Materials and Methods This study consisted of 47 computed tomographic images of patients with mandibular prognathism. The patients were classified into symmetric and asymmetric groups. Mandibular and ramal lines were analyzed using an alternate spherical coordinate system. The length as well as midsagittal and coronal inclination angle of the lines was obtained. The bilateral differences of the spherical coordinates of the facial lines were statistically analyzed in the groups. Results There were significant differences between the groups in bilateral difference of the length and midsagittal inclination angle of the lines (p<0.05). The bilateral difference of the length and midsagittal inclination angle of the lines has significant correlation with chin deviation (p<0.05). Conclusion The new alternate spherical coordinate system was able to effectively evaluate facial lines. The bilateral difference of lengths and midsagittal inclination of the facial lines might contribute to the facial asymmetry in mandibular prognathism individuals.
윤숙자(Suk-Ja Yoon),Rui-Feng Wang,J. Martin Palomo 대한치과의사협회 2010 대한치과의사협회지 Vol.48 No.10
Accurate analysis of facial asymmetry prior to any orthognathic or orthodontic treatment plan is essential in ensuring good treatment result. Dental CBCT (Cone-beam Computed Tomography) provides as actual three-dimensional measurements of distance and angle without any radiographic magnification as medical CT provides, while its field of view is limited to the oral and maxillofacial area. CBCT is a useful tool for the diagnosis of facial asymmetry. The coordinates of facial landmarks are obtained from the 3D reconstruction software which enables the establishment of perpendicular planes and the identification of the landmarks. Then, the bilateral discrepancies of the landmarks are obtained as spherical polar coordinates which can show the amount of asymmetry and its direction. A method of 3D analysis of facial asymmetry using CBCT is introduced in this report.
Yoon, Suk-Ja,Wang, Rui-Feng,Palomo, J. Martin 대한치과의사협회 2010 대한치과의사협회지 Vol.48 No.10
Accurate analysis of facial asymmetry prior to any orthognathic or orthodontic treatment plan is essential in ensuring good treatment result. Dental CBCT (Cone-beam Computed Tomography) provides as actual three-dimensional measurements of distance and angle without any radiographic magnification as medical CT provides, while its field of view is limited to the oral and maxillofacial area. CBCT is a useful tool for the diagnosis of facial asymmetry. The coordinates of facial landmarks are obtained from the 3D reconstruction software which enables the establishment of perpendicular planes and the identification of the landmarks. Then, the bilateral discrepancies of the landmarks are obtained as spherical polar coordinates which can show the amount of asymmetry and its direction. A method of 3D analysis of facial asymmetry using CBCT is introduced in this report.
Use of spherical coordinates to evaluate three-dimensional facial changes after orthognathic surgery
Yoon, Suk-Ja,Wang, Rui-Feng,Ryu, Sun-Youl,Hwang, Hyeon-Shik,Kang, Byung-Cheol,Lee, Jae-Seo,Palomo, Juan M. Korean Academy of Oral and Maxillofacial Radiology 2014 Imaging Science in Dentistry Vol.44 No.1
Purpose: This study aimed to assess the three-dimensional (3D) facial changes after orthognathic surgery by evaluating the spherical coordinates of facial lines using 3D computed tomography (CT). Materials and Methods: A 19-year-old girl was diagnosed with class III malocclusion and facial asymmetry. Orthognathic surgery was performed after orthodontic treatment. Facial CT scans were taken before and after orthognathic surgery. The patient had a menton deviation of 12.72 mm before surgery and 0.83 mm after surgery. The spherical coordinates of four bilateral facial lines (ramal height, ramal lateral, ramal posterior and mandibular body) were estimated from CT scans before and after surgery on the deviated and opposite side. Results: The spherical coordinates of all facial lines changed after orthognathic surgery. Moreover, the bilateral differences of all facial lines changed after surgery, and no bilateral differences were zero. Conclusion: The spherical coordinate system was useful to compare differences between the presurgical and postsurgical changes to facial lines.
Yoon, Suk-Ja,Wang, Rui-Feng,Hwang, Hyeon-Shik,Kang, Byung-Cheol,Lee, Jae-Seo,Palomo, Juan Martin Korean Academy of Oral and Maxillofacial Radiology 2011 Imaging Science in Dentistry Vol.41 No.3
Purpose : The purpose of this study was to compare asymmetric mandibular prognathism individuals with symmetric mandibular prognathism individuals using a new alternate spherical coordinate system. Materials and Methods : This study consisted of 47 computed tomographic images of patients with mandibular prognathism. The patients were classified into symmetric and asymmetric groups. Mandibular and ramal lines were analyzed using an alternate spherical coordinate system. The length as well as midsagittal and coronal inclination angle of the lines was obtained. The bilateral differences of the spherical coordinates of the facial lines were statistically analyzed in the groups. Results : There were significant differences between the groups in bilateral difference of the length and midsagittal inclination angle of the lines (p<0.05). The bilateral difference of the length and midsagittal inclination angle of the lines has significant correlation with chin deviation (p<0.05). Conclusion : The new alternate spherical coordinate system was able to effectively evaluate facial lines. The bilateral difference of lengths and midsagittal inclination of the facial lines might contribute to the facial asymmetry in mandibular prognathism individuals.
Normal range of facial asymmetry in spherical coordinates: a CBCT study
Yoon, Suk-Ja,Wang, Rui-Feng,Na, Hee Ja,Palomo, Juan Martin Korean Academy of Oral and Maxillofacial Radiology 2013 Imaging Science in Dentistry Vol.43 No.1
Purpose: This study aimed to measure the bilateral differences of facial lines in spherical coordinates from faces within a normal range of asymmetry utilizing cone-beam computed tomography (CBCT). Materials and Methods: CBCT scans from 22 females with normal symmetric-looking faces (mean age 24 years and 8 months) were selected for the study. The average menton deviation was $1.01{\pm}0.66$ mm. The spherical coordinates, length, and midsagittal and coronal inclination angles of the ramal and mandibular lines were calculated from CBCT. The bilateral differences in the facial lines were determined. Results: All of the study subjects had minimal bilateral differences of facial lines. The normal range of facial asymmetry of the ramal and mandibular lines was obtained in spherical coordinates. Conclusion: The normal range of facial asymmetry in the spherical coordinate system in this study should be useful as a reference for diagnosing facial asymmetry.