Accuracy of two midsagittal planes in three-dimensional analysis and their measurement in patients with skeletal mandibular deviation: a comparative study.
Our aim was to evaluate the accuracy of two midsagittal planes (MSP) to provide a better reference plane for studying the 3-dimensional structural symmetry in patients with skeletal mandibular deviation. Thirty adult patients with facial asymmetry were admitted to the Department of Orthodontics, Hospital of Stomatology, between January 2015 and 2017. The DICOM data were collected and reconstructed using ProPlan CMF® 2.0 (Materialise). Two sets of reference planes were set up. In the orbital margin plane group, the plane crossing the nasion (N) point and perpendicular to the frontozygomatic (FZ) suture line was used as the MSP. In the skull base plane group, the MSP was established using the sella turcica (S), N, and basion (Ba). The distances from the craniofacial skeletal and soft tissue midline landmarks to the two MSP were separately measured, and the significance of differences between measurements corresponding to two reference planes were assessed using the paired t test. Except for the posterior nasal spine (PNS)-MSP, the distances from other soft and hard tissue landmarks to the MSP in the orbital margin plane group were significantly shorter than those in the skull base plane group. In the 3-dimensional measurement analysis, the skeletal and soft tissue anatomical midline landmarks were closer to the MSP in the orbital margin plane group. The MSP crossing point N, perpendicular to the FZ suture line, was more accurate and suitable.
['Zheng|X|X|', 'Wang|L|L|', 'Zhang|B|B|', 'Bai|X|X|', 'Qin|Ke|K|', 'Tian|Y|Y|', 'Zhao|R|R|', 'Liu|S|S|', 'Wang|J|J|', 'Zhao|Z|Z|']
D000293:Adolescent D000328:Adult D059925:Anatomic Landmarks D005146:Facial Asymmetry D005260:Female D006801:Humans D021621:Imaging, Three-Dimensional D008297:Male D008334:Mandible D015203:Reproducibility of Results D014057:Tomography, X-Ray Computed
midsagittal plane 3D reconstruction Mandible deviation spiral CT