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Published on: September 8, 2023
Automated 3D Craniofacial Cephalometry in Orthognathic Surgery: A Preliminary Evaluation
Astrid Aisenfarb1, Arlette Oueiss2, Jacques Treil3
1Department of ENT, oral and maxillo-facial surgery, head and neck institute, 31 avenue de Valombrose 06100 Nice, University of Nice-Sophia Antipolis, France.
Objective:
This study aims to evaluate the efficiency and accuracy of an automated three-dimensional (3D) cephalometric software in diagnosing dento-skeletal dysmorphoses and its concordance with standard clinical diagnosis used in orthognathic surgery.
Methods:
A retrospective study was conducted at the Department of Otorhinolaryngology and Maxillofacial Surgery of the University Hospital of Nice. Fourteen patients who underwent bimaxillary surgery were included in this analysis. Standardized cephalometric and clinical diagnoses were compared with automated software-generated diagnoses. The statistical agreement between the two approaches was analyzed to assess the reliability of the software.
Results:
The software demonstrated a great agreement with our standardized diagnosis and a high reproducibility rate for skeletal measurements. However, it displayed discrepancies in specific parameters, particularly in soft tissue assessments (lack of measurements) and occlusal characteristics.
Conclusion:
Automated 3D cephalometry has significant potential as a diagnostic tool in orthognathic surgery. However, refinements are required to improve its accuracy, particularly in soft tissue assessment and occlusal analyses, before it can be fully integrated into routine clinical practice.
