The purpose of the study was to propose and validate a three-dimensional (3D) tool for the assessment of orthognathic surgery planning accuracy and postoperative follow-up. A total of 15 patients (four male, 11 female; mean age 29.6 years) with skeletal class II and III, who underwent bimaxillary surgery were recruited for the study. All patients had preoperative computed tomography (CT), and cone-beam computerized tomography (CBCT) scans 1–6 weeks and 6 months postoperatively. The data was exported to a customized stepwise module developed in Amira software resulting in the accuracy being presented as translational and rotational differences between the planning and the actual outcome.
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