Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Purpose: An accurate, reproducible method to calculate post-operative facial swelling in patients who have undergone orthognathic surgery is important to evaluate the effects of different therapies and surgical techniques on edema. The purpose of this study was to describe such a method and assess its reliability.
Materials And Methods: A prospective study of patients undergoing orthognathic surgery was conducted. 3D facial photographs were taken on these patients immediately postoperatively, and again at least 21 days later using the 3DMD face system (3DMD LLC., Atlanta, GA, USA). These were cropped using specific anatomic points and the difference in facial volume between the photographs was calculated. Intra-rater reliability and inter-rater reliability were assessed using the Intraclass Correlation Coefficient (ICC).
Results: 30 patients were included in the study for analysis. When the difference in facial swelling was calculated twice by the same rater, the mean difference between the two measurements was 4.0 ± 4.2 mL. When calculated by two separate raters, the mean difference was found to be 5.0 ± 3.8 mL. The ICCs for intra-rater and inter-rater reliability were excellent at 0.979 and 0.981 respectively.
Conclusion: This method allows for reproducible calculation of post-operative facial swelling and could be useful to evaluate the effects of different therapies used to limit swelling and to track the resolution of swelling. It can also potentially be used as a visual aid for patient counseling during the pre-surgical visits.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jormas.2023.101705 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Clinical Application of the Bilateral Abalakov Technique in Presurgical Orthodontic Decompensation: A Case Report.
Cureus
August 2025
Department of Oral and Maxillofacial Surgery, Centre Hospitalier Universitaire (CHU) de Lille, University of Lille, Lille, FRA.
Orthodontic decompensation prior to orthognathic surgery often requires complex mandibular tooth movements. These movements depend on stable posterior anchorage, which is not always reliably achieved with miniscrews or miniplates. This case report describes the case of an 18-year-old patient undergoing presurgical orthodontic treatment, in whom bilateral Abalakov anchorage was performed.
View Article and Find Full Text PDFImpact of osteotomy angle on bone failure risk in a modified pull-through approach: a finite element analysis.
BMC Oral Health
September 2025
Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Background: A modified pull-through approach represents a promising treatment strategy to access tumors in the posterior oral cavity. The design of the wedge osteotomy plays a key role in preserving postoperative mechanical stability while enabling surgical access. However, the optimal osteotomy design to reduce fracture risk remains unclear.
View Article and Find Full Text PDFEffects of structured orofacial muscle rehabilitation training on the recovery of facial expression muscles in patients with skeletal class II malocclusion after orthognathic surgery.
Oral Surg Oral Med Oral Pathol Oral Radiol
August 2025
Chief Nurse of Dental Science, State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China. Electronic address:
Objective: This study aimed to investigate the effects of structured orofacial muscle rehabilitation training (OMRT) on the recovery of facial expression muscles in patients with skeletal Class II malocclusion after orthognathic surgery.
Study Design: This randomized controlled trial enrolled 56 skeletal Class II malocclusion patients who underwent orthognathic surgery. The intervention group received structured OMRT, while the control group received standard postoperative care.
Five-year follow up on risk factors for condylar resorption after maxillomandibular advancement surgery.
Br J Oral Maxillofac Surg
August 2025
University Hospital of Southern Denmark, Esbjerg, 3D Lab Denmark, Finsensgade 35, 6700 Esbjerg, Denmark; University Hospital of Southern Denmark, Esbjerg, Department of Oral and Maxillofacial Surgery, Finsensgade 35, 6700 Esbjerg, Denmark; University of Southern Denmark, Faculty of Health Sciences,
Limited long-term 3-dimensional (3D) studies exist evaluating risk factors for condylar resorption following orthognathic surgery. Our aim was to evaluate patient demographics, clinical and radiographic characteristics, and orthognathic surgical effects on long-term postoperative condylar volume and height, and horizontal skeletal stability, using a 3D approach. Analysis of clinical data and cone-beam computed tomography before, and approximately two weeks and five years after surgery was carried out on 50 subjects (17 male, 33 female), mean (range) age 25.
View Article and Find Full Text PDFComprehensive Dentition Intrusion in Hyperdivergent Patients Using Temporary Skeletal Anchorage Devices.
Orthod Craniofac Res
September 2025
Department of Orthodontics, College of Dentistry, Kyung Hee University, Seoul, Republic of Korea.
Hyperdivergent skeletal Class II malocclusion is largely genetically determined and poses significant challenges in orthodontic treatment, particularly due to compromised facial aesthetics, reduced bite force and airway narrowing. Traditionally, orthognathic surgery has been the standard treatment for correcting such skeletal discrepancies. However, the advent of temporary skeletal anchorage devices (TSADs) has expanded the possibilities for orthodontic camouflage by allowing effective vertical control.
View Article and Find Full Text PDF