Semper-Hogg Wiebke, Fuessinger Marc Anton, Schwarz Steffen, Ellis Edward, Cornelius Carl-Peter, Probst Florian, Metzger Marc Christian, Schlager Stefan
Department of Oral and Maxillofacial Surgery (Chairman: Prof. Dr. Dr. Rainer Schmelzeisen), Albert-Ludwigs University Freiburg, Hugstetterstr. 55, 79106 Freiburg, Germany.
Department of Oral and Maxillofacial Surgery (Chairmann: Edward Ellis III, D.D.S., M.S., PhD), University of Texas Health Science Center at San Antonio, 8210 Floyd Curl Drive, MC8124, 78229-3923 San Antonio, USA.
J Craniomaxillofac Surg. 2017 Apr;45(4):461-466. doi: 10.1016/j.jcms.2016.12.020. Epub 2016 Dec 24.
This study evaluates the accuracy of a statistical shape model (SSM) for virtual fracture reconstruction of the lateral midface.
A uniform bony defect of the right zygoma was created. A virtual reconstruction was performed by using the standard procedure of mirroring the unaffected to the affected side (Group I) and by using the statistical model based on 178 pathologically unaffected CT scans (Group II). The accuracy of the statistical shape model was evaluated in comparison to the present mirroring protocol. The reconstructed region was compared with the original bone evaluating the mean deviation of both surfaces.
All zygomas could be reconstructed with all methods. On the affected side the mean deviation was 1.10 mm ± 0.23 mm in group I and 0.85 mm ± 0.26 mm in group II. The differences between the groups were significant.
SSM offers a more precise reconstruction of midface defects than mirroring procedures. As an additional element SSM could automatize the CAS workflow in many respects.
本研究评估统计形状模型(SSM)用于中面部外侧虚拟骨折重建的准确性。
在右侧颧骨制造一个均匀的骨缺损。通过使用将未受影响侧镜像到受影响侧的标准程序(第一组)以及使用基于178例病理上未受影响的CT扫描的统计模型(第二组)进行虚拟重建。与当前的镜像方案相比,评估统计形状模型的准确性。将重建区域与原始骨进行比较,评估两个表面的平均偏差。
所有方法均能重建所有颧骨。在受影响侧,第一组的平均偏差为1.10毫米±0.23毫米,第二组为0.85毫米±0.26毫米。两组之间的差异具有统计学意义。
与镜像程序相比,SSM能更精确地重建中面部缺损。作为一个额外因素,SSM在许多方面可以使计算机辅助手术(CAS)工作流程自动化。