Effect of Bimaxillary Surgery on Adaptive Condylar Head Remodeling: Metric Analysis and Image Interpretation Using Cone-Beam Computed Tomography Volume Superimposition
The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling. Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who...
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| Published in | Journal of oral and maxillofacial surgery Vol. 70; no. 8; pp. 1951 - 1959 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York, NY
Elsevier Inc
01.08.2012
Elsevier |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0278-2391 1531-5053 1531-5053 |
| DOI | 10.1016/j.joms.2011.08.017 |
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| Abstract | The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling.
Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ2 tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P < .05 was considered significant.
The sample was composed of 22 adults (11 men and 11 women, age 20.3 ± 3.2 years) diagnosed with skeletal Class III malocclusion. The intra- and interoperator reliabilities of the image interpretation showed substantial agreement, according to Cohen's kappa index. The condylar heights on the sagittal and coronal planes decreased after surgery. Bone resorption occurred predominantly in the anterior and superior areas on the sagittal plane, the superior and lateral areas on the coronal plane, and the anterolateral and posterolateral areas on the axial plane (P < .05). Bone formation was apparent only in the anteromedial area on the axial plane (P < .05).
Bimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery. |
|---|---|
| AbstractList | The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling.
Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ2 tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P < .05 was considered significant.
The sample was composed of 22 adults (11 men and 11 women, age 20.3 ± 3.2 years) diagnosed with skeletal Class III malocclusion. The intra- and interoperator reliabilities of the image interpretation showed substantial agreement, according to Cohen's kappa index. The condylar heights on the sagittal and coronal planes decreased after surgery. Bone resorption occurred predominantly in the anterior and superior areas on the sagittal plane, the superior and lateral areas on the coronal plane, and the anterolateral and posterolateral areas on the axial plane (P < .05). Bone formation was apparent only in the anteromedial area on the axial plane (P < .05).
Bimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery. The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling. Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ(2) tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P < .05 was considered significant. The sample was composed of 22 adults (11 men and 11 women, age 20.3 ± 3.2 years) diagnosed with skeletal Class III malocclusion. The intra- and interoperator reliabilities of the image interpretation showed substantial agreement, according to Cohen's kappa index. The condylar heights on the sagittal and coronal planes decreased after surgery. Bone resorption occurred predominantly in the anterior and superior areas on the sagittal plane, the superior and lateral areas on the coronal plane, and the anterolateral and posterolateral areas on the axial plane (P < .05). Bone formation was apparent only in the anteromedial area on the axial plane (P < .05). Bimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery. The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling.PURPOSEThe aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling.Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ(2) tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P < .05 was considered significant.MATERIALS AND METHODSUsing a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ(2) tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P < .05 was considered significant.The sample was composed of 22 adults (11 men and 11 women, age 20.3 ± 3.2 years) diagnosed with skeletal Class III malocclusion. The intra- and interoperator reliabilities of the image interpretation showed substantial agreement, according to Cohen's kappa index. The condylar heights on the sagittal and coronal planes decreased after surgery. Bone resorption occurred predominantly in the anterior and superior areas on the sagittal plane, the superior and lateral areas on the coronal plane, and the anterolateral and posterolateral areas on the axial plane (P < .05). Bone formation was apparent only in the anteromedial area on the axial plane (P < .05).RESULTSThe sample was composed of 22 adults (11 men and 11 women, age 20.3 ± 3.2 years) diagnosed with skeletal Class III malocclusion. The intra- and interoperator reliabilities of the image interpretation showed substantial agreement, according to Cohen's kappa index. The condylar heights on the sagittal and coronal planes decreased after surgery. Bone resorption occurred predominantly in the anterior and superior areas on the sagittal plane, the superior and lateral areas on the coronal plane, and the anterolateral and posterolateral areas on the axial plane (P < .05). Bone formation was apparent only in the anteromedial area on the axial plane (P < .05).Bimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery.CONCLUSIONSBimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery. Purpose The aim of the present study was to use cone-beam computed tomography volume superimposition to investigate the effect of bimaxillary orthognathic surgery on condylar head remodeling. Materials and Methods Using a retrospective study design, 2 investigators evaluated the cone-beam computed tomography data of subjects who had undergone Le Fort I osteotomy and mandibular setback surgery. The predictor variable was time, grouped as preoperative versus postoperative. The outcome variables were the measurement changes of the condylar heads and the distribution of the condylar head remodeling signs. Paired t and χ2 tests were performed for the purposes of the 2-dimensional metric analysis and the condylar head remodeling distribution. P < .05 was considered significant. Results The sample was composed of 22 adults (11 men and 11 women, age 20.3 ± 3.2 years) diagnosed with skeletal Class III malocclusion. The intra- and interoperator reliabilities of the image interpretation showed substantial agreement, according to Cohen's kappa index. The condylar heights on the sagittal and coronal planes decreased after surgery. Bone resorption occurred predominantly in the anterior and superior areas on the sagittal plane, the superior and lateral areas on the coronal plane, and the anterolateral and posterolateral areas on the axial plane ( P < .05). Bone formation was apparent only in the anteromedial area on the axial plane ( P < .05). Conclusions Bimaxillary orthognathic surgery caused a decrease in the condylar heights and condylar head remodeling. The cone-beam computed tomography volume superimposition method showed that the condylar head had undergone remodeling after bimaxillary surgery. |
| Author | Yang, Yu-Mi Jung, Yun-Hoa Hwang, Dae-Seok Park, Soo-Byung Kim, Yong-Il Cho, Bong-Hae |
| Author_xml | – sequence: 1 givenname: Soo-Byung surname: Park fullname: Park, Soo-Byung organization: Professor, Department of Orthodontics, Pusan National University College of Dentistry, Busan, South Korea – sequence: 2 givenname: Yu-Mi surname: Yang fullname: Yang, Yu-Mi organization: Graduate student, Department of Orthodontics, College of Dentistry, Pusan National University, Busan, Korea – sequence: 3 givenname: Yong-Il surname: Kim fullname: Kim, Yong-Il email: kimyongil@pusan.ac.kr organization: Clinical Assistant Professor, Department of Orthodontics, Biomedical research institute, Pusan National University Hospital, Busan, South Korea – sequence: 4 givenname: Bong-Hae surname: Cho fullname: Cho, Bong-Hae organization: Associate Professor, Department of Oral and Maxillofacial Radiology, Pusan National University College of Dentistry, Busan, South Korea – sequence: 5 givenname: Yun-Hoa surname: Jung fullname: Jung, Yun-Hoa organization: Associate Professor, Department of Oral and Maxillofacial Radiology, Pusan National University College of Dentistry, Busan, South Korea – sequence: 6 givenname: Dae-Seok surname: Hwang fullname: Hwang, Dae-Seok organization: Assistant Professor, Department of Oral and Maxillofacial Surgery, Pusan National University College of Dentistry, Busan, South Korea |
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| Keywords | Mandible Head Radiodiagnosis Image interpretation Superior maxillary Stomatology Temporomandibular joint Condyle of mandible Treatment Volume Surgery Medical imagery Computerized axial tomography |
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| SubjectTerms | Adaptation, Physiological - physiology Biological and medical sciences Bone Remodeling - physiology Bone Resorption - diagnostic imaging Cephalometry - methods Cone-Beam Computed Tomography - methods Female Follow-Up Studies Humans Image Processing, Computer-Assisted - methods Male Malocclusion, Angle Class III - surgery Mandible - pathology Mandible - surgery Mandibular Condyle - diagnostic imaging Mandibular Condyle - pathology Maxilla - pathology Maxilla - surgery Medical sciences Orthognathic Surgical Procedures - methods Osteogenesis - physiology Osteotomy, Le Fort - methods Osteotomy, Sagittal Split Ramus - methods Otorhinolaryngology. Stomatology Retrospective Studies Surgery Young Adult |
| Title | Effect of Bimaxillary Surgery on Adaptive Condylar Head Remodeling: Metric Analysis and Image Interpretation Using Cone-Beam Computed Tomography Volume Superimposition |
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