ArticlePloS one2018
Three-dimensional region-based study on the relationship between soft and hard tissue changes after orthognathic surgery in patients with prognathism.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Establishment of the mid-sagittal reference plane for three-dimensional assessment of facial asymmetry: a systematic review : Establishment of the mid-sagittal reference plane: a systematic review.Clinical oral investigations · 2024Pooled it
- [Application of sample-efficient neural network in predicting postoperative facial profiles in skeletal class Ⅱ orthognathic patients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026Article
- Reproducibility of Three-Dimensional Facial Surface Models Generated from Repeated CT and CBCT Scans: An Ex Vivo Study.Diagnostics (Basel, Switzerland) · 2026Article
- Comparison of nasolabial changes following Le Fort Ⅰ maxillary advancement versus Medpor implantation in skeletal class Ⅲ patients.Head & face medicine · 2026Article
- Association Between Soft Tissue Facial Profile and Dentoskeletal Changes in High-Angle Skeletal Class II Patients After Orthodontic Treatment: A Retrospective Cephalometric Study.Bioengineering (Basel, Switzerland) · 2026Article
- Bimaxillary Orthognathic Surgery for Facial Asymmetry with Near-Normal Sagittal Relationship: Mid-Term Stability and Remodeling.Medicina (Kaunas, Lithuania) · 2026Article
- Cephalometric and soft tissue determinants of esthetic outcomes after single-jaw mandibular setback surgery in skeletal class III patients: A retrospective study.Journal of dental sciences · 2026Article
- Maxillary advancement and soft tissue response in Le Fort I osteotomy.BMC oral health · 2025Article
- Comparison of soft tissue effects of different orthognathic surgical approaches in class III patients using photographic analysis.Scientific reports · 2025Article
- [Establishment and evaluation of a similarity measurement model for orthognathic patients based on the 3D craniofacial features].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025Article
- Clockwise versus counterclockwise rotation in bimaxillary surgery: 3D analysis of facial soft tissue outcomes.Oral and maxillofacial surgery · 2024Article
- Differences in facial soft tissue deviations in Class III patients with different types of mandibular asymmetry: A cone-beam computed tomography study.Korean journal of orthodontics · 2023Article
- Changes of the facial soft tissue after mandibular reconstruction using vascularized iliac flap.Clinical oral investigations · 2023Article
- Use of surgical bone cement to increase the projection of the nasomaxillary buttress in a case of orthognathic surgery. Technical note.Journal of clinical and experimental dentistry · 2023Article
- Three-dimensional soft tissue landmark detection with marching cube algorithm.Scientific reports · 2023Article
- Novel Anterior Cranial Base Area for Voxel-Based Superimposition of Craniofacial CBCTs.Journal of clinical medicine · 2022Article
- Type of mandibular asymmetry affects changes and outcomes of bimaxillary surgery for class III asymmetry.Clinical oral investigations · 2022Article
- Reliability of Different Anterior Cranial Base Reference Areas for Voxel-Based Superimposition.Journal of clinical medicine · 2021Article
- Personalized Computational Models of Tissue-Rearrangement in the Scalp Predict the Mechanical Stress Signature of Rotation Flaps.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2021Article
- Three-Dimensional Evaluation of Soft Tissue Malar Modifications after Zygomatic Valgization Osteotomy via Geometrical Descriptors.Journal of personalized medicine · 2021Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Both deep understanding and reliable prediction of postoperative soft tissue changes are crucial for planning orthognathic surgery. Instead of estimating soft tissue responses by measuring individual landmark changes, this study aimed to investigate the relationship (ratio) between soft and hard tissue movements in different facial regions through three-dimensional cone-beam computed tomography (CBCT). Preoperative and postoperative CBCT images were superimposed using the surface registration method on the basis of the cranial base, and 10 facial regions of interest were defined. Region-based volumetric subtractions between the preoperative and postoperative segments were performed. The volumetric differences and surface of each region were used to estimate the average movement. Correlation and regression analyses were performed to examine the relationships between the corresponding soft and hard tissue movements. An overall pattern of facial soft tissue movement was observed in patients with prognathism who underwent orthognathic surgery. The experiment results have shown that mean ratios for the average soft-to-hard tissue movements in the facial regions varied, which may not exactly be similar to the published reports because of the population biocharacteristics and study methods, but the trend is in agreement with the previous studies. Additionally, the prediction capability of the regression model was significantly high, ranging from 0.786 to 0.857, in upper lip, upper vermilion, and chin regions, thus demonstrating that the skin outline changes in these critical regions could be reliably predicted from the underlying bone movements. These results could likely be applied in future soft tissue simulation in orthognathic surgery.
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