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在患有面微小症和微小症的患者中,三维面部形态

Elsa M Ronde^{1,2,3,4,5,6,7,8}, Guido A de Jong^5,7, Jitske W Nolte^{1,2,3,4,5,6,7,8}

¹Department of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.

Plastic and reconstructive surgery

|October 30, 2024

概括

三维 (3D) 摄影客观地区分了面显微症 (CFM) 患者与对照者. 这项技术提供了一种安全的,新的方法,用于评估CFM和微小病例中面部参与的严重程度.

科学领域:

医疗成像医学成像
生物医学工程生物医学工程
整形外科整形外科整形外科

背景情况:

面显微症 (CFM) 目前使用主观轨道,下,耳朵,神经和软组织 (OMENS) 工具进行分类.
数字立体摄影仪,或三维 (3D) 摄影,提供客观的面部形状捕捉.
本研究研究了3D摄影在CFM评估中的实用性.

研究的目的:

评估3D摄影在区分CFM患者与健康对照中的适用性.
评估3D摄影对CFM面部干预严重程度的分类能力.
将客观的3D测量与主观的OMENS分类进行比较.

主要方法:

一项涉及179名CFM患者和210名对照者的病例控制研究.
使用不对称指数 (ASI) 和面部签名 (FS) 评分分析3D照片.
使用FS得分的主要组件分析 (PCA) 和后勤回归.

主要成果:

在CFM患者和对照人群之间观察到ASI和FS得分的显著差异 (p<0.001).
ASI和FS分数与OMENS分量表相关,表明客观测量与临床评估一致.
后勤回归显示下和轨道不对称性增加,Pruzansky-Kaban得分更高.

结论:

3D摄影可以客观地将CFM和微病患者与对照患者区分开来.
这些发现表明,3D摄影是一种可行,客观和安全的方法,用于评估CFM中面部参与的严重程度.
这项技术为对面形的定量评估提供了一种新的方法.

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