26. Phân tích sự thay đổi mô mềm bằng máy quét khuôn mặt sau phẫu thuật chỉnh hình xương các trường hợp hạng II: Mô tả chùm ca bệnh

Nguyễn Đình Minh Nhật, Hồ Sĩ Tín, Hồ Nguyễn Thanh Chơn, Đỗ Tiến Hải, Huỳnh Nhật Công Nam

Nội dung chính của bài viết

Tóm tắt

This study aimed to analyze the facial soft tissue characteristics before and after orthognathic surgery in cases of class II malocclusion using 3D facial scanning technology. We performed facial scans of 4 patients before and after surgery at 3 and 6 months. The data, including measurements of particular distances, angles, and ratios, will be analyzed through 3D software measurements as well as qualitative and quantitative assessment of soft tissue changes through the 3D superimposition method. Soft tissue indices were significantly improved after surgery, especially the lip area retreated by 4 - 6mm, the chin area advanced by 2 - 4mm, and the lip-chin angle decreased by 3 - 10 degrees. The ASO surgeries had fewer changes than the BSSO and Lefort I surgeries. According to the VAS, all 4 patients were satisfied with the postoperative facial aesthetic changes. The study showed the degree of visual and objective changes in facial soft tissue after orthognathic surgery, affirming the effectiveness of 3D facial scanning technology in orthognathic surgery, including supporting surgeons in consulting, planning treatment, and evaluating postoperative facial aesthetics.

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Tài liệu tham khảo

1. Ha NT, Phuong LH, Hung HT. The application of orthgnathic surgery to correct severe dentofacial deformities. Ho Chi Minh City Journal of Medicine. 2012; 16(2): 170-178.
2. Ho C-T, Lai H-C, Lin H-H, Denadai R, Lo L-J. Outcome of full digital workflow for orthognathic surgery planning in the treatment of asymmetric skeletal class III deformity. Journal of the Formosan Medical Association. 2021; 120(12): 2100-2112.
3. Vittert L, Katina S, Ayoub A, Khambay B, Bowman A. Assessing the outcome of orthognathic surgery by three-dimensional soft tissue analysis. International journal of oral and maxillofacial surgery. 2018; 47(12): 1587-1595.
4. Hiệp NH, Hưng MĐ, Thắng NP, Loan HK. Xác định một số chỉ số đầu mặt ở nhóm học sinh 12 tuổi người Kinh bằng phương pháp đo trên phim sọ mặt từ xa và mẫu thạch cao tại Hà Nội và Bình Dương. Tạp chí Y học Cộng đồng. 2020; 3(56): 69-77.
5. Hưng L, Oanh NT, Hạnh NT, et al. 29. Thực trạng lệch lạc khớp cắn và nhu cầu điều trị chỉnh nha của học sinh 14 tuổi tại Trường trung học cơ sở Hoàng Long, Hà Nội năm học 2023. Tạp chí Nghiên cứu Y học. 05/23 2024; 176(3): 250-257. doi:10.52852/tcncyh.v176i3.2293.
6. Vo HM, Huynh NC, Tran TT, Hoang HT, Nguyen AT. Influence of titanium dioxide and composite on the accuracy of an intraoral scanner for bilateral upper posterior edentulous jaw (Kennedy class I) scanning: An in vitro study. Journal of dentistry. Dec 2023; 139: 104747. doi:10.1016/j.jdent.2023.104747.
7. Jung J, Lee CH, Lee JW, Choi BJ. Three dimensional evaluation of soft tissue after orthognathic surgery. Head Face Med. Oct 5 2018; 14(1): 21. doi:10.1186/s13005-018-0179-z.
8. Raschke GF, Rieger UM, Bader RD, Guentsch A, Schaefer O, Schultze-Mosgau S. Soft tissue outcome after mandibular advancement--an anthropometric evaluation of 171 consecutive patients. Clinical oral investigations. Jun 2013; 17(5): 1415-23. doi:10.1007/s00784-012-0821-2.
9. Hodge TM, Boyd PT, Munyombwe T, Littlewood SJ. Orthodontists’ perceptions of the need for orthognathic surgery in patients with Class II Division 1 malocclusion based on extraoral examinations. American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. Jul 2012; 142(1): 52-9. doi:10.1016/j.ajodo.2012.02.020.
10. Bohner L, Gamba DD, Hanisch M, et al. Accuracy of digital technologies for the scanning of facial, skeletal, and intraoral tissues: A systematic review. J Prosthet Dent. Feb 2019; 121(2): 246-251. doi:10.1016/j.prosdent.2018.01.015.
11. Lee JK, Chung KR, Baek SH. Treatment outcomes of orthodontic treatment, corticotomy-assisted orthodontic treatment, and anterior segmental osteotomy for bimaxillary dentoalveolar protrusion. Plastic and reconstructive surgery. Sep 15 2007; 120(4): 1027-1036. doi:10.1097/01.prs.0000277999.01337.8b.
12. Lee Y, Lim SW, Chan V, Hong P, Han SB, Chae HS. The surgical outcomes of anterior segmental osteotomy in Asian skeletal class II patients. Oral Maxillofac Surg. Mar 2024; 28(1): 289-298. doi:10.1007/s10006-023-01142-w.